Grand Parkway Pediatric Dental | |
7910 W Grand Pkwy S Ste 100 Richmond TX 77406-5834 | |
(832) 222-8687 | |
Not Available |
Full Name | Grand Parkway Pediatric Dental |
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Speciality | Dentist - Pediatric Dentistry |
Location | 7910 W Grand Pkwy S Ste 100, Richmond, Texas |
Authorized Official Name and Position | Faisal M Khan (OWNER/DENTIST) |
Authorized Official Contact | 8322228687 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Grand Parkway Pediatric Dental 7910 W Grand Pkwy S Ste 100 Richmond TX 77406-5834 Ph: (832) 222-8687 | Grand Parkway Pediatric Dental 7910 W Grand Pkwy S Ste 100 Richmond TX 77406-5834 Ph: (832) 222-8687 |
NPI Number | 1194091736 |
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Provider Enumeration Date | 03/28/2012 |
Last Update Date | 12/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194091736 | NPI | - | NPPES |
202975308 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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