| The Woodlands Prosthodontics P.a. | |
|
150 Pine Forest Dr Ste 111 Shenandoah TX 77384-5303 | |
| (832) 966-0400 | |
| Not Available |
| Full Name | The Woodlands Prosthodontics P.a. |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 150 Pine Forest Dr Ste 111, Shenandoah, Texas |
| Authorized Official Name and Position | Vaibhav Latthe (PRESIDENT) |
| Authorized Official Contact | 7133608448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Woodlands Prosthodontics P.a. 150 Pine Forest Dr Ste 111 Shenandoah TX 77384-5303 Ph: (832) 966-0400 | The Woodlands Prosthodontics P.a. 150 Pine Forest Dr Ste 111 Shenandoah TX 77384-5303 Ph: (832) 966-0400 |
| NPI Number | 1114449634 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114449634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 32258 (Texas) | Primary |
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