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25031 Westheimer Pkwy Ste 200 Katy TX 77494-7317 | |
| (281) 810-2300 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25031 Westheimer Pkwy Ste 200, Katy, Texas |
| Authorized Official Name and Position | Deja Opusunju (DENTIST) |
| Authorized Official Contact | 2818102300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1138 Katy TX 77492-1138 Ph: (281) 810-2300 | 25031 Westheimer Pkwy Ste 200 Katy TX 77494-7317 Ph: (281) 810-2300 |
| NPI Number | 1154920023 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 02/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154920023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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