| Ut Dental Branch | |
|
4106 Lehigh Ave Houston TX 77005-1933 | |
| (713) 349-9521 | |
| Not Available |
| Full Name | Ut Dental Branch |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4106 Lehigh Ave, Houston, Texas |
| Authorized Official Name and Position | Robin Weltman (DIRECTOR) |
| Authorized Official Contact | 7134864056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ut Dental Branch 4106 Lehigh Ave Houston TX 77005-1933 Ph: () - | Ut Dental Branch 4106 Lehigh Ave Houston TX 77005-1933 Ph: (713) 349-9521 |
| NPI Number | 1093065583 |
|---|---|
| Provider Enumeration Date | 09/12/2012 |
| Last Update Date | 09/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093065583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22145 (Texas) | Primary |
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