| Super Dental Bros Pllc | |
|
900 S Wayside Dr Ste 100 Houston TX 77023-3418 | |
| (346) 397-0752 | |
| Not Available |
| Full Name | Super Dental Bros Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 900 S Wayside Dr Ste 100, Houston, Texas |
| Authorized Official Name and Position | Michael Pontrelli (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 8322037968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Super Dental Bros Pllc 900 S Wayside Dr Ste 100 Houston TX 77023-3418 Ph: (346) 397-0752 | Super Dental Bros Pllc 900 S Wayside Dr Ste 100 Houston TX 77023-3418 Ph: (346) 397-0752 |
| NPI Number | 1831927847 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831927847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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