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9727 Spring Green Blvd Ste 200 Katy TX 77494-4141 | |
| (281) 697-5200 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9727 Spring Green Blvd Ste 200, Katy, Texas |
| Authorized Official Name and Position | Jimmy Pho (PRESIDENT) |
| Authorized Official Contact | 2816975200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9727 Spring Green Blvd Ste 200 Katy TX 77494-4141 Ph: (281) 697-5200 | 9727 Spring Green Blvd Ste 200 Katy TX 77494-4141 Ph: (281) 697-5200 |
| NPI Number | 1003630518 |
|---|---|
| Provider Enumeration Date | 11/12/2024 |
| Last Update Date | 12/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003630518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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