| Woodlake Family Dental | |
|
2539 S Gessner Rd Ste 7 Houston TX 77063-2028 | |
| (713) 489-0008 | |
| (713) 338-2288 |
| Full Name | Woodlake Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 2539 S Gessner Rd Ste 7, Houston, Texas |
| Authorized Official Name and Position | Xiaoyu Guo (GENERAL DENTIST) |
| Authorized Official Contact | 7134890008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlake Family Dental 2539 S Gessner Rd Ste 7 Houston TX 77063-2028 Ph: (713) 489-0008 | Woodlake Family Dental 2539 S Gessner Rd Ste 7 Houston TX 77063-2028 Ph: (713) 489-0008 |
| NPI Number | 1699361725 |
|---|---|
| Provider Enumeration Date | 12/13/2020 |
| Last Update Date | 07/19/2021 |
| Medicare PECOS PAC ID | 4587077672 |
|---|---|
| Medicare Enrollment ID | O20210111000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699361725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Xiaoyu Guo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1275141277 PECOS PAC ID: 6305259490 Enrollment ID: I20210111000267 |
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