Wellspring Periodontics | |
2780 Fm 1463 Rd Ste 203 Katy TX 77494-7938 | |
(312) 834-3368 | |
Not Available |
Full Name | Wellspring Periodontics |
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Speciality | Clinic/center - Dental |
Location | 2780 Fm 1463 Rd Ste 203, Katy, Texas |
Authorized Official Name and Position | Ankur Patel (PERIODONTIST) |
Authorized Official Contact | 3128343368 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wellspring Periodontics 2780 Fm 1463 Rd Ste 203 Katy TX 77494-7938 Ph: () - | Wellspring Periodontics 2780 Fm 1463 Rd Ste 203 Katy TX 77494-7938 Ph: (312) 834-3368 |
NPI Number | 1427572247 |
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Provider Enumeration Date | 08/02/2017 |
Last Update Date | 08/02/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427572247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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