| Indigo Orthodontics | |
|
7975 W Grand Pkwy S #130 Richmond TX 77407-8604 | |
| (281) 201-2087 | |
| Not Available |
| Full Name | Indigo Orthodontics |
|---|---|
| Speciality | Dentist |
| Location | 7975 W Grand Pkwy S, Richmond, Texas |
| Authorized Official Name and Position | Srishti Mehta (OWNER/ORTHDONTIST) |
| Authorized Official Contact | 4052089618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indigo Orthodontics 5407 Abington Creek Ln Sugar Land TX 77479-4383 Ph: (405) 208-9618 | Indigo Orthodontics 7975 W Grand Pkwy S #130 Richmond TX 77407-8604 Ph: (281) 201-2087 |
| NPI Number | 1710425269 |
|---|---|
| Provider Enumeration Date | 02/05/2017 |
| Last Update Date | 02/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710425269 | NPI | - | NPPES |
| 1821127762 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23049 (Texas) | Primary |
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