| Dental Pavilion, P.c. | |
|
1508 Wirt Rd Houston TX 77055 | |
| (713) 681-8881 | |
| (713) 681-2283 |
| Full Name | Dental Pavilion, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1508 Wirt Rd, Houston, Texas |
| Authorized Official Name and Position | David Gonzalez (PRESIDENT) |
| Authorized Official Contact | 7136818881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Pavilion, P.c. 1508 Wirt Rd Houston TX 77055 Ph: (713) 681-8881 | Dental Pavilion, P.c. 1508 Wirt Rd Houston TX 77055 Ph: (713) 681-8881 |
| NPI Number | 1225356744 |
|---|---|
| Provider Enumeration Date | 05/07/2010 |
| Last Update Date | 05/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225356744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17986 (Texas) | Primary |
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