| Susan Menapace Delclos Dmd Mds Pa | |
|
2869 Dulles Avenue Missouri City TX 77459 | |
| (281) 261-2504 | |
| (281) 499-4990 |
| Full Name | Susan Menapace Delclos Dmd Mds Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2869 Dulles Avenue, Missouri City, Texas |
| Authorized Official Name and Position | Susan Menapace Delclos (RESPONSIBLE OFFICER) |
| Authorized Official Contact | 2812612504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Menapace Delclos Dmd Mds Pa 2869 Dulles Avenue Missouri City TX 77459 Ph: (281) 261-2504 | Susan Menapace Delclos Dmd Mds Pa 2869 Dulles Avenue Missouri City TX 77459 Ph: (281) 261-2504 |
| NPI Number | 1225191299 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225191299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 17351 (Texas) | Primary |
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