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2950 Gulf Fwy S Ste A League City TX 77573-6787 | |
(281) 337-3222 | |
(281) 337-9222 |
Full Name | |
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Speciality | Dentist |
Location | 2950 Gulf Fwy S Ste A, League City, Texas |
Authorized Official Name and Position | Sandra Mbibi (OWNER/CEO) |
Authorized Official Contact | 2813373222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2950 Gulf Fwy S Ste A League City TX 77573-6787 Ph: (281) 337-3222 | 2950 Gulf Fwy S Ste A League City TX 77573-6787 Ph: (281) 337-3222 |
NPI Number | 1952714990 |
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Provider Enumeration Date | 06/07/2014 |
Last Update Date | 01/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952714990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 29702 (Texas) | Primary |
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