South Houston Family Dental | |
701 College Ave South Houston TX 77587-4205 | |
(713) 941-7555 | |
(713) 951-7527 |
Full Name | South Houston Family Dental |
---|---|
Speciality | Dentist |
Location | 701 College Ave, South Houston, Texas |
Authorized Official Name and Position | Priya T Ganju (DENTIST) |
Authorized Official Contact | 7139417555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South Houston Family Dental 701 College Ave South Houston TX 77587-4205 Ph: (713) 941-7555 | South Houston Family Dental 701 College Ave South Houston TX 77587-4205 Ph: (713) 941-7555 |
NPI Number | 1467727347 |
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Provider Enumeration Date | 03/12/2012 |
Last Update Date | 03/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467727347 | NPI | - | NPPES |
1578745931 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 19772 (Texas) | Primary |
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