| Premier Dental | |
|
11 Professional Park Dr. Webster TX 77598 | |
| (281) 317-6401 | |
| (281) 488-2888 |
| Full Name | Premier Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11 Professional Park Dr., Webster, Texas |
| Authorized Official Name and Position | Luis Mauricio Rodriguez (OWNER/DOCTOR) |
| Authorized Official Contact | 2814881227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental 11 Professional Park Dr. Webster TX 77598 Ph: (281) 317-6401 | Premier Dental 11 Professional Park Dr. Webster TX 77598 Ph: (281) 317-6401 |
| NPI Number | 1881063816 |
|---|---|
| Provider Enumeration Date | 09/21/2015 |
| Last Update Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881063816 | NPI | - | NPPES |
| 1043659972 | Other | TX | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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