| Houston Red Oak Drive Dental, Pc | |
|
17222 Red Oak Dr Ste 104 Houston TX 77090-2614 | |
| (281) 583-4600 | |
| Not Available |
| Full Name | Houston Red Oak Drive Dental, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 17222 Red Oak Dr Ste 104, Houston, Texas |
| Authorized Official Name and Position | Gina Abrotsky (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7206034788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Red Oak Drive Dental, Pc 17222 Red Oak Dr Ste 104 Houston TX 77090-2614 Ph: (281) 583-4600 | Houston Red Oak Drive Dental, Pc 17222 Red Oak Dr Ste 104 Houston TX 77090-2614 Ph: (281) 583-4600 |
| NPI Number | 1962991927 |
|---|---|
| Provider Enumeration Date | 05/05/2018 |
| Last Update Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962991927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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