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3100 Chimney Rock Rd Ste A2 Houston TX 77056-6285 | |
| (713) 781-6873 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3100 Chimney Rock Rd Ste A2, Houston, Texas |
| Authorized Official Name and Position | Fatemeh Ebrahimi (PRESIDENT/OWNER) |
| Authorized Official Contact | 8323825626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3100 Chimney Rock Rd Ste A2 Houston TX 77056-6285 Ph: (713) 781-6873 | 3100 Chimney Rock Rd Ste A2 Houston TX 77056-6285 Ph: (713) 781-6873 |
| NPI Number | 1154060457 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 04/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154060457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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