| Katy Center For Oral And Facial Surgery | |
|
23922 Cinco Village Center Blvd Suite 111 Katy TX 77494-6619 | |
| (281) 392-1130 | |
| Not Available |
| Full Name | Katy Center For Oral And Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 23922 Cinco Village Center Blvd, Katy, Texas |
| Authorized Official Name and Position | Tania Impastato (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2813921130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Center For Oral And Facial Surgery 23922 Cinco Village Center Blvd Suite 111 Katy TX 77494-6619 Ph: (281) 392-1130 | Katy Center For Oral And Facial Surgery 23922 Cinco Village Center Blvd Suite 111 Katy TX 77494-6619 Ph: (281) 392-1130 |
| NPI Number | 1053762823 |
|---|---|
| Provider Enumeration Date | 06/23/2016 |
| Last Update Date | 06/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053762823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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