| Midtown Mtd Llc | |
|
315 Westheimer Rd Houston TX 77006-3129 | |
| (713) 322-6666 | |
| Not Available |
| Full Name | Midtown Mtd Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 315 Westheimer Rd, Houston, Texas |
| Authorized Official Name and Position | Jonathan Penchas (OWNER) |
| Authorized Official Contact | 7133226666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Mtd Llc 315 Westheimer Rd Houston TX 77006-3129 Ph: (713) 322-6666 | Midtown Mtd Llc 315 Westheimer Rd Houston TX 77006-3129 Ph: (713) 322-6666 |
| NPI Number | 1881133700 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 02/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881133700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 18415 (Texas) | Primary |
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