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5425 Highway 6 Suite C100 Missouri City TX 77459-4387 | |
(281) 261-8258 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 5425 Highway 6, Missouri City, Texas |
Authorized Official Name and Position | Leann Le (CORPORATE ACCOUNTING MANAGER) |
Authorized Official Contact | 2812618258 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5425 Highway 6 Suite C100 Missouri City TX 77459-4387 Ph: (281) 261-8258 | 5425 Highway 6 Suite C100 Missouri City TX 77459-4387 Ph: (281) 261-8258 |
NPI Number | 1912302704 |
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Provider Enumeration Date | 10/23/2014 |
Last Update Date | 10/23/2014 |
Identifier | Type | State | Issuer |
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1912302704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (Texas) | Primary |
1223P0300X | Dentist - Periodontics | (Texas) | Secondary |
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Dental Health Associates Of Texas, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9303 Highway 6 Ste 300, Missouri City, TX 77459 Phone: 281-969-7388 | |
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