| Limra Dental Pllc | |
|
14829 Bellaire Blvd Ste 1b Houston TX 77083-2500 | |
| (205) 563-4843 | |
| Not Available |
| Full Name | Limra Dental Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14829 Bellaire Blvd Ste 1b, Houston, Texas |
| Authorized Official Name and Position | Amena Tamkenath (MANAGER) |
| Authorized Official Contact | 2055634843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Limra Dental Pllc 14829 Bellaire Blvd Ste 1b Houston TX 77083-2500 Ph: (281) 495-7018 | Limra Dental Pllc 14829 Bellaire Blvd Ste 1b Houston TX 77083-2500 Ph: (205) 563-4843 |
| NPI Number | 1326663485 |
|---|---|
| Provider Enumeration Date | 06/14/2020 |
| Last Update Date | 06/12/2024 |
| Medicare PECOS PAC ID | 9133543523 |
|---|---|
| Medicare Enrollment ID | O20200717001722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326663485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Amena Tamkenath |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881079580 PECOS PAC ID: 0042634438 Enrollment ID: I20200717001784 |
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