| Pediatric Dental Safari | |
|
947 Gessner Rd Ste A240 Houston TX 77024-1729 | |
| (832) 203-8577 | |
| (281) 929-0813 |
| Full Name | Pediatric Dental Safari |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 947 Gessner Rd Ste A240, Houston, Texas |
| Authorized Official Name and Position | Amita Damani (OWNER, PRESIDENT) |
| Authorized Official Contact | 8322038577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Safari 947 Gessner Rd Ste A240 Houston TX 77024-1729 Ph: (832) 203-8577 | Pediatric Dental Safari 947 Gessner Rd Ste A240 Houston TX 77024-1729 Ph: (832) 203-8577 |
| NPI Number | 1114438942 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 10/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114438942 | NPI | - | NPPES |
| 1134443468 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 24788 (Texas) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 25257 (Texas) | Secondary |
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