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4660 Sweetwater Blvd Ste 230 Sugar Land TX 77479-3167 | |
(281) 980-1733 | |
Not Available |
Full Name | |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 4660 Sweetwater Blvd Ste 230, Sugar Land, Texas |
Authorized Official Name and Position | Ryan Trevino (DOCTOR) |
Authorized Official Contact | 2819801733 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4660 Sweetwater Blvd Ste 230 Sugar Land TX 77479-3167 Ph: (281) 980-1733 | 4660 Sweetwater Blvd Ste 230 Sugar Land TX 77479-3167 Ph: (281) 980-1733 |
NPI Number | 1407591548 |
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Provider Enumeration Date | 05/03/2022 |
Last Update Date | 06/11/2024 |
Identifier | Type | State | Issuer |
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1407591548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Dental Specialist Of Texas Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15200 Southwest Fwy Ste 120, Sugar Land, TX 77478 Phone: 281-494-2477 | |
Avalon Dental Group, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 Williams Trace Blvd, Ste 108, Sugar Land, TX 77478 Phone: 281-240-5559 Fax: 281-240-5557 |