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1575 W Grand Pkwy S Ste 1200 Katy TX 77494-8313 | |
| (281) 395-1700 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1575 W Grand Pkwy S Ste 1200, Katy, Texas |
| Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 2147020708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
15660 Dallas Pkwy Ste 925 Dallas TX 75248-3323 Ph: (214) 702-0729 | 1575 W Grand Pkwy S Ste 1200 Katy TX 77494-8313 Ph: (281) 395-1700 |
| NPI Number | 1710530449 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710530449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Allen A Walker Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1796 Ave D, Ste A, Katy, TX 77493 Phone: 281-391-2446 Fax: 281-391-2066 | |
Dr.peter Timm #1, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 S Mason Rd Ste 104, Katy, TX 77450 Phone: 281-720-8090 Fax: 281-720-8091 | |
Good Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2316 S Mason Rd, Katy, TX 77450 Phone: 281-989-1265 |