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3991 Richmond Ave Houston TX 77027-5803 | |
| (713) 244-7797 | |
| (281) 888-9653 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3991 Richmond Ave, Houston, Texas |
| Authorized Official Name and Position | Sahara A Lesage (OWNER) |
| Authorized Official Contact | 7134908880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2536 Amherst St Ste A Houston TX 77005-3207 Ph: (713) 490-8880 | 3991 Richmond Ave Houston TX 77027-5803 Ph: (713) 244-7797 |
| NPI Number | 1093256190 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093256190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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