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5177 Richmond Ave Ste 150 Houston TX 77056 | |
| (713) 960-9926 | |
| (713) 626-2927 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5177 Richmond Ave, Houston, Texas |
| Authorized Official Name and Position | Malcolm Ray Scott (PRESIDENT) |
| Authorized Official Contact | 5123711222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7517 Cameron Road Suite 107 Austin TX 78752 Ph: () - | 5177 Richmond Ave Ste 150 Houston TX 77056 Ph: (713) 960-9926 |
| NPI Number | 1336229087 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336229087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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