| Clear Lake Oral And Maxillofacial Surgeyy, Pllc | |
|
17448 Highway 3 Ste 170 Webster TX 77598-4139 | |
| (281) 338-7700 | |
| (281) 338-7703 |
| Full Name | Clear Lake Oral And Maxillofacial Surgeyy, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 17448 Highway 3 Ste 170, Webster, Texas |
| Authorized Official Name and Position | Gholam Reza Zakhireh (MANAGER/PRESIDENT) |
| Authorized Official Contact | 2813387700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Lake Oral And Maxillofacial Surgeyy, Pllc 17448 Highway 3 Ste 170 Webster TX 77598-4139 Ph: (281) 338-7700 | Clear Lake Oral And Maxillofacial Surgeyy, Pllc 17448 Highway 3 Ste 170 Webster TX 77598-4139 Ph: (281) 338-7700 |
| NPI Number | 1245588169 |
|---|---|
| Provider Enumeration Date | 08/27/2012 |
| Last Update Date | 08/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245588169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13577 (Texas) | Primary |
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