| Periodontal Center Of Excellence Pllc | |
|
3 Grogans Park Dr Ste 103 Spring TX 77380-2937 | |
| (281) 292-1833 | |
| Not Available |
| Full Name | Periodontal Center Of Excellence Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3 Grogans Park Dr Ste 103, Spring, Texas |
| Authorized Official Name and Position | Ali Saam Sajadi (MANAGING PARTNER) |
| Authorized Official Contact | 8324528625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Center Of Excellence Pllc 3 Grogans Park Dr Ste 103 Spring TX 77380-2937 Ph: (281) 292-1833 | Periodontal Center Of Excellence Pllc 3 Grogans Park Dr Ste 103 Spring TX 77380-2937 Ph: (281) 292-1833 |
| NPI Number | 1942928502 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 08/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942928502 | NPI | - | NPPES |
| 28219 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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