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1911 Taylor Street Suite D Houston TX 77007 | |
| (713) 868-4488 | |
| (713) 861-1116 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1911 Taylor Street, Houston, Texas |
| Authorized Official Name and Position | Janice Lising (DDS/OWNER) |
| Authorized Official Contact | 7138684488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | 1911 Taylor Street Suite D Houston TX 77007 Ph: (713) 868-4488 |
| NPI Number | 1821351511 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 02/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821351511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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