| Summit Dental Center Lp | |
|
4765 Fm 1960 Rd W Ste H Houston TX 77069-4641 | |
| (281) 977-8999 | |
| Not Available |
| Full Name | Summit Dental Center Lp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4765 Fm 1960 Rd W Ste H, Houston, Texas |
| Authorized Official Name and Position | Essa A Kawaja (OWNER) |
| Authorized Official Contact | 8326730999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Dental Center Lp 5225 Katy Fwy Ste 104 Houston TX 77007-2268 Ph: (832) 673-0999 | Summit Dental Center Lp 4765 Fm 1960 Rd W Ste H Houston TX 77069-4641 Ph: (281) 977-8999 |
| NPI Number | 1568602134 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 02/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568602134 | NPI | - | NPPES |
| 17989 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17989 (Texas) | Primary |
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