| Smile Rangers Dental | |
|
4747 Fm 1463 Suite 200 Katy TX 77494 | |
| (408) 203-9810 | |
| Not Available |
| Full Name | Smile Rangers Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4747 Fm 1463, Katy, Texas |
| Authorized Official Name and Position | Nisha Sundaragopal (CHIEF DENTAL OFFICER) |
| Authorized Official Contact | 4082039810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Rangers Dental 9910 St Romain Dr Katy TX 77494-1920 Ph: (408) 203-9810 | Smile Rangers Dental 4747 Fm 1463 Suite 200 Katy TX 77494 Ph: (408) 203-9810 |
| NPI Number | 1023467941 |
|---|---|
| Provider Enumeration Date | 06/10/2016 |
| Last Update Date | 06/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023467941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 27303 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | 27303 (Texas) | Primary |
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Dr.peter Timm #1, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 S Mason Rd Ste 104, Katy, TX 77450 Phone: 281-720-8090 Fax: 281-720-8091 | |
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