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1333 Old Spanish Trl Ste C Houston TX 77054-1841 | |
(713) 383-9206 | |
Not Available |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1333 Old Spanish Trl Ste C, Houston, Texas |
Authorized Official Name and Position | Shervin Amini (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 7136478199 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1333 Old Spanish Trl Ste C Houston TX 77054-1841 Ph: (713) 383-9206 | 1333 Old Spanish Trl Ste C Houston TX 77054-1841 Ph: (713) 383-9206 |
NPI Number | 1932622487 |
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Provider Enumeration Date | 07/17/2017 |
Last Update Date | 08/05/2021 |
Identifier | Type | State | Issuer |
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1932622487 | NPI | - | NPPES |
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