Felicia Pranata, Pllc | |
1940 W League City Pkwy Ste 170 League City TX 77573-7338 | |
(281) 241-9114 | |
Not Available |
Full Name | Felicia Pranata, Pllc |
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Speciality | Dentist - General Practice |
Location | 1940 W League City Pkwy Ste 170, League City, Texas |
Authorized Official Name and Position | Felicia Pranata (MANAGER) |
Authorized Official Contact | 7135305168 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Felicia Pranata, Pllc 1131 Juniper Canyon Ln Houston TX 77062-2059 Ph: (713) 530-5168 | Felicia Pranata, Pllc 1940 W League City Pkwy Ste 170 League City TX 77573-7338 Ph: (281) 241-9114 |
NPI Number | 1447990445 |
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Provider Enumeration Date | 03/30/2022 |
Last Update Date | 03/30/2022 |
Identifier | Type | State | Issuer |
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1447990445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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