| Sage Dental-deer Park Pllc | |
|
9001 Spencer Hwy Suite J La Porte TX 77571-3897 | |
| (972) 869-3789 | |
| Not Available |
| Full Name | Sage Dental-deer Park Pllc |
|---|---|
| Speciality | Dentist |
| Location | 9001 Spencer Hwy, La Porte, Texas |
| Authorized Official Name and Position | Mary Pu (VP FINANCE) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Dental-deer Park Pllc Po Box 734753 Dallas TX 75373-4753 Ph: (972) 869-3789 | Sage Dental-deer Park Pllc 9001 Spencer Hwy Suite J La Porte TX 77571-3897 Ph: (972) 869-3789 |
| NPI Number | 1477841286 |
|---|---|
| Provider Enumeration Date | 07/13/2011 |
| Last Update Date | 05/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477841286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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