| Houston Wisdom Teeth, Pllc | |
|
12004 Shadow Creek Pkwy Suite #122-a, Pearland TX 77584 | |
| (713) 424-2824 | |
| Not Available |
| Full Name | Houston Wisdom Teeth, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 12004 Shadow Creek Pkwy Suite #122-a,, Pearland, Texas |
| Authorized Official Name and Position | Benjamin Hilton (MANAGING MEMBER) |
| Authorized Official Contact | 2084842376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Wisdom Teeth, Pllc 5513 W 11000 N Ste 226 Highland UT 84003-8012 Ph: (801) 899-5512 | Houston Wisdom Teeth, Pllc 12004 Shadow Creek Pkwy Suite #122-a, Pearland TX 77584 Ph: (713) 424-2824 |
| NPI Number | 1992417117 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992417117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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