| Maribel Colon-torrado Dmd, Pa | |
|
2815 W Lake Houston Pkwy Suite 105 Kingwood TX 77339-5227 | |
| (281) 446-1169 | |
| Not Available |
| Full Name | Maribel Colon-torrado Dmd, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2815 W Lake Houston Pkwy, Kingwood, Texas |
| Authorized Official Name and Position | Maribel Colon-torrado (OWNER) |
| Authorized Official Contact | 7135039073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maribel Colon-torrado Dmd, Pa 2815 W Lake Houston Pkwy Ste 105 Kingwood TX 77339-5220 Ph: (281) 446-1169 | Maribel Colon-torrado Dmd, Pa 2815 W Lake Houston Pkwy Suite 105 Kingwood TX 77339-5227 Ph: (281) 446-1169 |
| NPI Number | 1912060138 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 01/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912060138 | NPI | - | NPPES |
| 162747301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21532 (Texas) | Primary |
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