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550 Westcott St Ste 448 Houston TX 77007-5043 | |
| (713) 975-9933 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 550 Westcott St Ste 448, Houston, Texas |
| Authorized Official Name and Position | Travis Walding (OWNER) |
| Authorized Official Contact | 7139759933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
550 Westcott St Ste 448 Houston TX 77007-5043 Ph: (713) 975-9933 | 550 Westcott St Ste 448 Houston TX 77007-5043 Ph: (713) 975-9933 |
| NPI Number | 1104486943 |
|---|---|
| Provider Enumeration Date | 06/14/2019 |
| Last Update Date | 07/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104486943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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