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2001 Katy Mills Blvd Ste E Katy TX 77494-4880 | |
| (281) 644-5166 | |
| (281) 644-5165 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2001 Katy Mills Blvd Ste E, Katy, Texas |
| Authorized Official Name and Position | Roshanak Haghshenas (DENTIST/OWNER) |
| Authorized Official Contact | 2816445166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2001 Katy Mills Blvd Ste E Katy TX 77494-4880 Ph: (281) 644-5166 | 2001 Katy Mills Blvd Ste E Katy TX 77494-4880 Ph: (281) 644-5166 |
| NPI Number | 1851616205 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 03/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851616205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22418 (Texas) | Primary |
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