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4817 Main St Ste 210 Houston TX 77002-9700 | |
| (713) 492-0414 | |
| (713) 795-5806 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4817 Main St Ste 210, Houston, Texas |
| Authorized Official Name and Position | Anna M Munne (OWNER) |
| Authorized Official Contact | 7134920414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4817 Main St Ste 210 Houston TX 77002-9700 Ph: (713) 492-0414 | 4817 Main St Ste 210 Houston TX 77002-9700 Ph: (713) 492-0414 |
| NPI Number | 1801596838 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801596838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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