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5406 Airline Dr Suite F Houston TX 77076-4948 | |
(281) 905-6660 | |
Not Available |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 5406 Airline Dr, Houston, Texas |
Authorized Official Name and Position | Lauren Epp (REGIONAL MANAGER) |
Authorized Official Contact | 8322037968 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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900 S Wayside Dr Suite 100 Houston TX 77023-3427 Ph: (281) 974-3996 | 5406 Airline Dr Suite F Houston TX 77076-4948 Ph: (281) 905-6660 |
NPI Number | 1578953766 |
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Provider Enumeration Date | 01/27/2015 |
Last Update Date | 01/27/2015 |
Identifier | Type | State | Issuer |
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1578953766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (Texas) | Primary |
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