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12661 W Lake Houston Parkway Suite G Houston TX 77044 | |
| (281) 372-0216 | |
| (281) 372-0217 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 12661 W Lake Houston Parkway, Houston, Texas |
| Authorized Official Name and Position | John Barnes (OWNER) |
| Authorized Official Contact | 2813720216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8900 | 12661 W Lake Houston Parkway Suite G Houston TX 77044 Ph: (281) 372-0216 |
| NPI Number | 1073915476 |
|---|---|
| Provider Enumeration Date | 09/17/2014 |
| Last Update Date | 09/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073915476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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