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5011 Highway 6 Ste 101 Missouri City TX 77459-4899 | |
(281) 206-4444 | |
(281) 205-4301 |
Full Name | |
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Speciality | Dentist |
Location | 5011 Highway 6 Ste 101, Missouri City, Texas |
Authorized Official Name and Position | Manoj Mathew (OWNER) |
Authorized Official Contact | 2818789800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5011 Highway 6 Ste 101 Missouri City TX 77459-4899 Ph: (281) 206-4444 | 5011 Highway 6 Ste 101 Missouri City TX 77459-4899 Ph: (281) 206-4444 |
NPI Number | 1184096356 |
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Provider Enumeration Date | 10/27/2015 |
Last Update Date | 10/27/2015 |
Identifier | Type | State | Issuer |
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1184096356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 24934 (Texas) | Primary |
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