Ideal Dental at West Little York

NPI #1114301116 in Houston, Texas

Provider Information

NPI Number: 1114301116
Entity Type: Organization
Organization Name: Ideal Dental at West Little York
Primary Specialty: Dentist
Enumeration Date: Jul 20, 2015
Last Updated: Jul 20, 2015

Practice Location

Address: 216 W LITTLE YORK RD
Address 2: STE B
City: Houston
State: Texas
ZIP Code: 77076-1432
Phone: (832) 458-1068

Authorized Official

Name: DEREK LIANG
Title: DENTIST
Phone: (832) 316-0369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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