| Luna Dental Pllc | |
|
5425 Highway 6 Ste C100 Missouri City TX 77459-4390 | |
| (832) 277-7805 | |
| Not Available |
| Full Name | Luna Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5425 Highway 6 Ste C100, Missouri City, Texas |
| Authorized Official Name and Position | Nathan Kerdlappol (DENTIST/OWNER) |
| Authorized Official Contact | 8322777805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Dental Pllc 4410 Westheimer Rd Apt 3218 Houston TX 77027-1814 Ph: (832) 277-7805 | Luna Dental Pllc 5425 Highway 6 Ste C100 Missouri City TX 77459-4390 Ph: (832) 277-7805 |
| NPI Number | 1083248652 |
|---|---|
| Provider Enumeration Date | 02/23/2020 |
| Last Update Date | 02/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083248652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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