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6047 Bissonnet St Houston TX 77081-6903 | |
| (713) 432-7222 | |
| (713) 432-7221 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6047 Bissonnet St, Houston, Texas |
| Authorized Official Name and Position | Craig L Van Alfen (MEMBER) |
| Authorized Official Contact | 8018089465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6047 Bissonnet St Houston TX 77081-6903 Ph: (713) 432-7222 | 6047 Bissonnet St Houston TX 77081-6903 Ph: (713) 432-7222 |
| NPI Number | 1063736767 |
|---|---|
| Provider Enumeration Date | 03/24/2010 |
| Last Update Date | 03/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063736767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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