| Sugar Land Periocosmetic Dental Pllc | |
|
2941 Broadway Bend Dr Ste 206 Pearland TX 77584-2291 | |
| (832) 620-9131 | |
| Not Available |
| Full Name | Sugar Land Periocosmetic Dental Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2941 Broadway Bend Dr Ste 206, Pearland, Texas |
| Authorized Official Name and Position | Zhijian Chen (PRESIDENT) |
| Authorized Official Contact | 8326209131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sugar Land Periocosmetic Dental Pllc Po Box 17029 Sugar Land TX 77496-7029 Ph: (832) 620-9131 | Sugar Land Periocosmetic Dental Pllc 2941 Broadway Bend Dr Ste 206 Pearland TX 77584-2291 Ph: (832) 620-9131 |
| NPI Number | 1235994864 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235994864 | NPI | - | NPPES |
| 22372 | Other | TX | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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