Ktjp Huntsville Dental Pllc
NPI #1215568274 in Huntsville, Texas
Provider Information
- NPI Number
- 1215568274
- Entity Type
- Organization
- Organization Name
- Ktjp Huntsville Dental Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 29, 2020
- Last Updated
- Jul 24, 2020
Practice Location
- Address
- 1333 WINDSOR ST
- City
- Huntsville
- State
- Texas
- ZIP Code
- 77340-5615
- Phone
- (936) 291-9021
Authorized Official
- Name
- SUZANNE LE
- Title
- OFFICE MANAGER
- Phone
- (832) 878-3353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Clinic/Center - Dental — Dental |
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