| Dentist Tree Of Fairfield | |
|
28404 Hwy 290 Suite G03 Cypress TX 77433 | |
| (281) 849-3690 | |
| Not Available |
| Full Name | Dentist Tree Of Fairfield |
|---|---|
| Speciality | Dentist |
| Location | 28404 Hwy 290, Cypress, Texas |
| Authorized Official Name and Position | Katy Poramapornpilas (CO-DIRECTOR) |
| Authorized Official Contact | 2815073044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentist Tree Of Fairfield 1737 Maravilla Dr Houston TX 77055-2057 Ph: () - | Dentist Tree Of Fairfield 28404 Hwy 290 Suite G03 Cypress TX 77433 Ph: (281) 849-3690 |
| NPI Number | 1336682152 |
|---|---|
| Provider Enumeration Date | 11/28/2016 |
| Last Update Date | 11/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336682152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24765 (Texas) | Primary |
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