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5230 Buffalo Speedway Ste B Houston TX 77005-4204 | |
| (832) 617-5530 | |
| (713) 696-9998 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 5230 Buffalo Speedway Ste B, Houston, Texas |
| Authorized Official Name and Position | Sahara Adams Lesage (OWNER) |
| Authorized Official Contact | 7134908880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2536 Amherst St Ste A Houston TX 77005-3207 Ph: (713) 490-8880 | 5230 Buffalo Speedway Ste B Houston TX 77005-4204 Ph: (832) 617-5530 |
| NPI Number | 1043836901 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043836901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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