| Magico Dental Pllc | |
|
5803 Lyons Ave Houston TX 77020-4833 | |
| (281) 974-3996 | |
| Not Available |
| Full Name | Magico Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 5803 Lyons Ave, Houston, Texas |
| Authorized Official Name and Position | Neli Guevara (BILLING DIRECTOR) |
| Authorized Official Contact | 2819743996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magico Dental Pllc 900 S Wayside Dr Ste 100 Houston TX 77023-3418 Ph: (832) 203-7968 | Magico Dental Pllc 5803 Lyons Ave Houston TX 77020-4833 Ph: (281) 974-3996 |
| NPI Number | 1124511365 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124511365 | NPI | - | NPPES |
| 34745052 | Other | TX | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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