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3784 Rayford Rd # 400 Spring TX 77386 | |
(832) 557-3474 | |
(832) 442-9796 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 3784 Rayford Rd # 400, Spring, Texas |
Authorized Official Name and Position | Jenny Garcia (LEAD OF CREDENTIALING) |
Authorized Official Contact | 9728693789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 734753 Dallas TX 75373-4753 Ph: (832) 557-3474 | 3784 Rayford Rd # 400 Spring TX 77386 Ph: (832) 557-3474 |
NPI Number | 1336869130 |
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Provider Enumeration Date | 08/31/2022 |
Last Update Date | 11/18/2022 |
Identifier | Type | State | Issuer |
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1336869130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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