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909 Dairy Ashford Rd Suite 109 Houston TX 77079-5309 | |
| (281) 752-0314 | |
| (281) 752-0316 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 909 Dairy Ashford Rd, Houston, Texas |
| Authorized Official Name and Position | Diana Molina (FRONT DESK) |
| Authorized Official Contact | 2817520314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
909 Dairy Ashford Rd Suite 109 Houston TX 77079-5309 Ph: (281) 752-0314 | 909 Dairy Ashford Rd Suite 109 Houston TX 77079-5309 Ph: (281) 752-0314 |
| NPI Number | 1013458488 |
|---|---|
| Provider Enumeration Date | 03/17/2017 |
| Last Update Date | 03/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013458488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30674 (Texas) | Primary |
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