| Endodontics & Microsurgery Center Pc | |
|
23543 Kingsland Blvd Ste 500 Katy TX 77494-3962 | |
| (281) 655-8445 | |
| (346) 257-4962 |
| Full Name | Endodontics & Microsurgery Center Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 23543 Kingsland Blvd Ste 500, Katy, Texas |
| Authorized Official Name and Position | Paula Andrea Mendez Montalvo (CO-OWNER/ENDODONTIST) |
| Authorized Official Contact | 2816558445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontics & Microsurgery Center Pc 23543 Kingsland Blvd Ste 500 Katy TX 77494-3962 Ph: (281) 655-8445 | Endodontics & Microsurgery Center Pc 23543 Kingsland Blvd Ste 500 Katy TX 77494-3962 Ph: (281) 655-8445 |
| NPI Number | 1790349165 |
|---|---|
| Provider Enumeration Date | 04/30/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790349165 | NPI | - | NPPES |
| 25824 | Other | TX | TEXAS DENTAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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