Village Park Family Dental | |
12617 Louetta Rd Ste 204 Cypress TX 77429-5212 | |
(281) 336-1131 | |
(888) 433-8848 |
Full Name | Village Park Family Dental |
---|---|
Speciality | Case Management |
Location | 12617 Louetta Rd Ste 204, Cypress, Texas |
Authorized Official Name and Position | Saba Ahmed (DOCTOR) |
Authorized Official Contact | 2183361131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Village Park Family Dental 12617 Louetta Rd Ste 204 Cypress TX 77429-5212 Ph: (281) 336-1131 | Village Park Family Dental 12617 Louetta Rd Ste 204 Cypress TX 77429-5212 Ph: (281) 336-1131 |
NPI Number | 1750760179 |
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Provider Enumeration Date | 05/19/2015 |
Last Update Date | 06/25/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750760179 | NPI | - | NPPES |
23508 | Other | TX | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 23508 (Texas) | Secondary |
251B00000X | Case Management | (* (Not Available)) | Primary |
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