| Parkway Dental Group | |
|
2800 Broadway St Suite I Pearland TX 77581-9502 | |
| (281) 485-2231 | |
| (281) 485-2290 |
| Full Name | Parkway Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2800 Broadway St, Pearland, Texas |
| Authorized Official Name and Position | Joseph Ralph Mendoza (DENTIST/OWNER) |
| Authorized Official Contact | 2814852231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Dental Group 2800 Broadway St Suite I Pearland TX 77581-9502 Ph: (281) 485-2231 | Parkway Dental Group 2800 Broadway St Suite I Pearland TX 77581-9502 Ph: (281) 485-2231 |
| NPI Number | 1568626422 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568626422 | NPI | - | NPPES |
| 111077701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17293 (Texas) | Primary |
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