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15455 Memorial Dr Ste 400 Houston TX 77079-4135 | |
| (281) 940-5524 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15455 Memorial Dr, Houston, Texas |
| Authorized Official Name and Position | Justin T Lai (OWNER/DENTIST) |
| Authorized Official Contact | 2819405524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2828 Hayes Rd Apt 513 Houston TX 77082-6633 Ph: (281) 940-5524 | 15455 Memorial Dr Ste 400 Houston TX 77079-4135 Ph: (281) 940-5524 |
| NPI Number | 1134510571 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 02/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134510571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 29013 (Texas) | Primary |
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