| La Michoacana Dental Clinic Llc | |
|
150 W Parker Rd Suite 702 Houston TX 77076-2951 | |
| (713) 691-1188 | |
| (713) 691-1196 |
| Full Name | La Michoacana Dental Clinic Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 150 W Parker Rd, Houston, Texas |
| Authorized Official Name and Position | Adelina P Monty (MANAGING MEMBER) |
| Authorized Official Contact | 7136911188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Michoacana Dental Clinic Llc 150 W Parker Rd Suite 702 Houston TX 77076-2951 Ph: (713) 691-1188 | La Michoacana Dental Clinic Llc 150 W Parker Rd Suite 702 Houston TX 77076-2951 Ph: (713) 691-1188 |
| NPI Number | 1225339435 |
|---|---|
| Provider Enumeration Date | 11/04/2010 |
| Last Update Date | 11/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225339435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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