| Washington Dental | |
|
2515 Washington Ave Houston TX 77007-6342 | |
| (713) 802-0044 | |
| (713) 802-2162 |
| Full Name | Washington Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2515 Washington Ave, Houston, Texas |
| Authorized Official Name and Position | Mauricio Tovar (OWNER) |
| Authorized Official Contact | 7138020044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Dental 2515 Washington Ave Houston TX 77007-6342 Ph: (713) 802-0044 | Washington Dental 2515 Washington Ave Houston TX 77007-6342 Ph: (713) 802-0044 |
| NPI Number | 1083750285 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 03/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083750285 | NPI | - | NPPES |
| 090792502 | Medicaid | TX | |
| 160126201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17000 (Texas) | Primary |
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