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3840 Aldine Mail Rd Houston TX 77039-4644 | |
(678) 904-5665 | |
(678) 904-5666 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 3840 Aldine Mail Rd, Houston, Texas |
Authorized Official Name and Position | Dale Mayfield (PRESIDENT) |
Authorized Official Contact | 7709165036 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1090 Northchase Pkwy Se Ste 290 Marietta GA 30067-6402 Ph: (770) 916-5358 | 3840 Aldine Mail Rd Houston TX 77039-4644 Ph: (678) 904-5665 |
NPI Number | 1376842096 |
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Provider Enumeration Date | 03/21/2011 |
Last Update Date | 06/17/2019 |
Identifier | Type | State | Issuer |
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1376842096 | NPI | - | NPPES |
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