Reji Mammen

NPI #1104304542 in Houston, Texas

Provider Information

NPI Number: 1104304542
Entity Type: Individual
Name: Reji Mammen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 28, 2018
Last Updated: Jul 28, 2018

Practice Location

Address: 2120 EL PASEO ST., APT 2607
City: Houston
State: Texas
ZIP Code: 77054
Phone: (832) 270-6851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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