| Radiant Orthodontics, Pllc | |
|
9009 Long Point Rd Suite A1 Houston TX 77055-4665 | |
| (713) 468-9009 | |
| (713) 463-6403 |
| Full Name | Radiant Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 9009 Long Point Rd, Houston, Texas |
| Authorized Official Name and Position | Elaheh Moheb (OWNER) |
| Authorized Official Contact | 7139228838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Orthodontics, Pllc 9009 Long Point Rd Suite A1 Houston TX 77055-4665 Ph: (713) 468-9009 | Radiant Orthodontics, Pllc 9009 Long Point Rd Suite A1 Houston TX 77055-4665 Ph: (713) 468-9009 |
| NPI Number | 1962721878 |
|---|---|
| Provider Enumeration Date | 05/18/2010 |
| Last Update Date | 09/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962721878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22757 (Texas) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22757 (Texas) | Primary |
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