| Usparkle Dental Pa | |
|
1013 Dairy Ashford Rd Houston TX 77079-4602 | |
| (832) 781-0462 | |
| (832) 770-9366 |
| Full Name | Usparkle Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1013 Dairy Ashford Rd, Houston, Texas |
| Authorized Official Name and Position | Kamila Husain (MANAGING DIRECTOR) |
| Authorized Official Contact | 8327810462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Usparkle Dental Pa 1013 Dairy Ashford Rd Houston TX 77079-4602 Ph: (832) 781-0462 | Usparkle Dental Pa 1013 Dairy Ashford Rd Houston TX 77079-4602 Ph: (832) 781-0462 |
| NPI Number | 1750818159 |
|---|---|
| Provider Enumeration Date | 05/16/2017 |
| Last Update Date | 05/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750818159 | NPI | - | NPPES |
| 1699944660 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23488 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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