| Dental Land Pllc | |
|
2525 Southmore Ave # Site200 Pasadena TX 77502-1451 | |
| (713) 434-6170 | |
| (713) 434-6189 |
| Full Name | Dental Land Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2525 Southmore Ave # Site200, Pasadena, Texas |
| Authorized Official Name and Position | Sirous Rasti (MANAGER) |
| Authorized Official Contact | 7134346170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Land Pllc 2525 Southmore Ave # Site200 Pasadena TX 77502-1451 Ph: (713) 434-6170 | Dental Land Pllc 2525 Southmore Ave # Site200 Pasadena TX 77502-1451 Ph: (713) 434-6170 |
| NPI Number | 1578197208 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578197208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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