| |
7442 Park Place Blvd Houston TX 77087-4442 | |
(713) 645-1612 | |
Not Available |
Full Name | |
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Speciality | Dentist - Prosthodontics |
Location | 7442 Park Place Blvd, Houston, Texas |
Authorized Official Name and Position | Louis-philippe Bosse (OWNER) |
Authorized Official Contact | 2818762278 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7442 Park Place Blvd Houston TX 77087-4442 Ph: (713) 645-1612 | 7442 Park Place Blvd Houston TX 77087-4442 Ph: (713) 645-1612 |
NPI Number | 1225469273 |
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Provider Enumeration Date | 12/02/2013 |
Last Update Date | 12/02/2013 |
Identifier | Type | State | Issuer |
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1225469273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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