| Fairlakes Family Dentistry | |
|
15103 Mason Rd Suite B-8 Cypress TX 77433 | |
| (281) 973-2844 | |
| (281) 213-4598 |
| Full Name | Fairlakes Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15103 Mason Rd, Cypress, Texas |
| Authorized Official Name and Position | Pierre M Ghattas (DENTIST/OWNER) |
| Authorized Official Contact | 2819732844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairlakes Family Dentistry 15103 Mason Rd Suite B-8 Cypress TX 77433 Ph: (281) 973-2844 | Fairlakes Family Dentistry 15103 Mason Rd Suite B-8 Cypress TX 77433 Ph: (281) 973-2844 |
| NPI Number | 1821529967 |
|---|---|
| Provider Enumeration Date | 03/21/2017 |
| Last Update Date | 03/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821529967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22621 (* (Not Available)) | Primary |
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