First Colony Mall Dental Pa | |
16535 Southwest Fwy 570 Sugar Land TX 77479-2321 | |
(954) 846-7171 | |
Not Available |
Full Name | First Colony Mall Dental Pa |
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Speciality | Dentist - General Practice |
Location | 16535 Southwest Fwy, Sugar Land, Texas |
Authorized Official Name and Position | Rostislav Krasnov (OWNER) |
Authorized Official Contact | 9548467171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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First Colony Mall Dental Pa 16535 Southwest Fwy 570 Sugar Land TX 77479-2321 Ph: () - | First Colony Mall Dental Pa 16535 Southwest Fwy 570 Sugar Land TX 77479-2321 Ph: (954) 846-7171 |
NPI Number | 1154738151 |
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Provider Enumeration Date | 07/22/2014 |
Last Update Date | 07/22/2014 |
Identifier | Type | State | Issuer |
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1154738151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 27827 (Texas) | Primary |
Dental Specialist Of Texas Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15200 Southwest Fwy Ste 120, Sugar Land, TX 77478 Phone: 281-494-2477 | |
Avalon Dental Group, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 Williams Trace Blvd, Ste 108, Sugar Land, TX 77478 Phone: 281-240-5559 Fax: 281-240-5557 |