| Memorial Dental Associates Pllc | |
|
11451 Katy Fwy Ste 105 Houston TX 77079-2008 | |
| (713) 465-8239 | |
| Not Available |
| Full Name | Memorial Dental Associates Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11451 Katy Fwy Ste 105, Houston, Texas |
| Authorized Official Name and Position | Neha Joshi (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2818990094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Dental Associates Pllc 11451 Katy Fwy Ste 105 Houston TX 77079-2008 Ph: () - | Memorial Dental Associates Pllc 11451 Katy Fwy Ste 105 Houston TX 77079-2008 Ph: (713) 465-8239 |
| NPI Number | 1043857931 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 12/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043857931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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