Payton Canchola DDS PA

NPI #1912762535 in Katy, Texas

Provider Information

NPI Number: 1912762535
Entity Type: Organization
Organization Name: Payton Canchola DDS PA
Primary Specialty: Dentist
Enumeration Date: Feb 14, 2024
Last Updated: Feb 28, 2024

Practice Location

Address: 94 W GRAND PKWY S STE 240
City: Katy
State: Texas
ZIP Code: 77494-7049
Phone: (281) 832-2278

Authorized Official

Name: MS. TANIA IMPASTATO
Title: PRACTICE ADMINISTRATOR
Phone: (128) 183-2227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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