Smile Squad of Houston 249 Pllc

NPI #1407407893 in Houston, Texas

Provider Information

NPI Number: 1407407893
Entity Type: Organization
Organization Name: Smile Squad of Houston 249 Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 26, 2019
Last Updated: Sep 26, 2019

Practice Location

Address: 11740 STATE HIGHWAY 249 STE A
City: Houston
State: Texas
ZIP Code: 77086-4133
Phone: (281) 713-5780

Authorized Official

Name: AMANDA NAVARRO
Title: CREDENTIALING CONSULTANT
Phone: (832) 689-6311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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