| Victory Smiles Of Pasadena | |
|
4002 Burke Rd Ste 400 Pasadena TX 77504-3451 | |
| (832) 460-5657 | |
| (346) 999-1223 |
| Full Name | Victory Smiles Of Pasadena |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4002 Burke Rd Ste 400, Pasadena, Texas |
| Authorized Official Name and Position | John T Le (MANAGER) |
| Authorized Official Contact | 8324605657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Smiles Of Pasadena 4002 Burke Rd Ste 400 Pasadena TX 77504-3451 Ph: (832) 460-5657 | Victory Smiles Of Pasadena 4002 Burke Rd Ste 400 Pasadena TX 77504-3451 Ph: (832) 460-5657 |
| NPI Number | 1265001036 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265001036 | NPI | - | NPPES |
| 1953960-17 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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