| Mda Dentist | |
|
13146 Memorial Dr Houston TX 77079-7200 | |
| (713) 468-7222 | |
| Not Available |
| Full Name | Mda Dentist |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 13146 Memorial Dr, Houston, Texas |
| Authorized Official Name and Position | Emily Van Khanh Le (DIRECTOR) |
| Authorized Official Contact | 7134687222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mda Dentist 13146 Memorial Dr Houston TX 77079-7200 Ph: (713) 468-7222 | Mda Dentist 13146 Memorial Dr Houston TX 77079-7200 Ph: (713) 468-7222 |
| NPI Number | 1891707436 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891707436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22808 (Texas) | Primary |
| 1223P0700X | Dentist - Prosthodontics | 22088 (Texas) | Primary |
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