| Dental Etc | |
|
2945 Gulf Fwy S Ste D League City TX 77573-6771 | |
| (281) 534-7300 | |
| (281) 534-7299 |
| Full Name | Dental Etc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2945 Gulf Fwy S Ste D, League City, Texas |
| Authorized Official Name and Position | Mitchel Mai (PRESIDENT) |
| Authorized Official Contact | 7137032915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Etc 2945 Gulf Fwy S Ste D League City TX 77573-6771 Ph: (281) 534-7300 | Dental Etc 2945 Gulf Fwy S Ste D League City TX 77573-6771 Ph: (281) 534-7300 |
| NPI Number | 1669667408 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 09/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669667408 | NPI | - | NPPES |
| 167196802 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21502 (Texas) | Primary |
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