| League City Elite Dentistry | |
|
180 Gulf Fwy S Ste A League City TX 77573-3895 | |
| (949) 274-9337 | |
| Not Available |
| Full Name | League City Elite Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 180 Gulf Fwy S Ste A, League City, Texas |
| Authorized Official Name and Position | Amirpasha Farnaghi (DENTIST/OWNER) |
| Authorized Official Contact | 9492749337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| League City Elite Dentistry 14 Greenway Plz Unit 26o Houston TX 77046-1434 Ph: () - | League City Elite Dentistry 180 Gulf Fwy S Ste A League City TX 77573-3895 Ph: (949) 274-9337 |
| NPI Number | 1326592601 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 08/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326592601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 29585 (Texas) | Primary |
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