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15620 Fm 529 Road Houston TX 77095 | |
(281) 855-7774 | |
(281) 855-7785 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 15620 Fm 529 Road, Houston, Texas |
Authorized Official Name and Position | Cassandra Petersen (CREDENTIALING TEAM LEAD) |
Authorized Official Contact | 2175408972 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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15620 Fm 529 Road Houston TX 77095 Ph: (281) 855-7774 | 15620 Fm 529 Road Houston TX 77095 Ph: (281) 855-7774 |
NPI Number | 1255492815 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 01/03/2018 |
Identifier | Type | State | Issuer |
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1255492815 | NPI | - | NPPES |
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