| Lakewood Kids Dentistry, Pllc | |
|
11550 Louetta Rd Houston TX 77070-1368 | |
| (832) 654-6641 | |
| Not Available |
| Full Name | Lakewood Kids Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11550 Louetta Rd, Houston, Texas |
| Authorized Official Name and Position | Davette D Johnson-harris (OWNER,PROVIDER) |
| Authorized Official Contact | 8326546641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Kids Dentistry, Pllc 11550 Louetta Rd Houston TX 77070-1368 Ph: (832) 654-6641 | Lakewood Kids Dentistry, Pllc 11550 Louetta Rd Houston TX 77070-1368 Ph: (832) 654-6641 |
| NPI Number | 1215493408 |
|---|---|
| Provider Enumeration Date | 02/13/2019 |
| Last Update Date | 02/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215493408 | NPI | - | NPPES |
| 1518198480 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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