| Mangum Park Dentistry For Children | |
|
2710 Mangum Rd Ste 109 Houston TX 77092-7495 | |
| (713) 956-0400 | |
| Not Available |
| Full Name | Mangum Park Dentistry For Children |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2710 Mangum Rd Ste 109, Houston, Texas |
| Authorized Official Name and Position | John S Cho (PRESIDENT) |
| Authorized Official Contact | 7139560400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mangum Park Dentistry For Children 2710 Mangum Rd Ste 109 Houston TX 77092-7495 Ph: (713) 956-0400 | Mangum Park Dentistry For Children 2710 Mangum Rd Ste 109 Houston TX 77092-7495 Ph: (713) 956-0400 |
| NPI Number | 1770081986 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 03/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770081986 | NPI | - | NPPES |
| 345124701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 30592 (Texas) | Primary |
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