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5240 Fm 2920 Rd Ste 400 Spring TX 77388-3003 | |
| (832) 648-7632 | |
| (832) 532-1904 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5240 Fm 2920 Rd Ste 400, Spring, Texas |
| Authorized Official Name and Position | Ruben Lopez (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8326487632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
507 N Sam Houston Pkwy E Ste 565 Houston TX 77060-4021 Ph: (832) 648-7632 | 5240 Fm 2920 Rd Ste 400 Spring TX 77388-3003 Ph: (832) 648-7632 |
| NPI Number | 1003443284 |
|---|---|
| Provider Enumeration Date | 03/26/2020 |
| Last Update Date | 10/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003443284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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