| Manvel Pediatric Dentistry | |
|
19433 Morris Ave Ste. 120 Manvel TX 77578 | |
| (832) 637-5085 | |
| Not Available |
| Full Name | Manvel Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 19433 Morris Ave, Manvel, Texas |
| Authorized Official Name and Position | Abimbola Olutimehin (OWNER) |
| Authorized Official Contact | 8326375085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manvel Pediatric Dentistry 19433 Morris Ave. Ste. 120 Manvel TX 77578 Ph: (832) 637-5085 | Manvel Pediatric Dentistry 19433 Morris Ave Ste. 120 Manvel TX 77578 Ph: (832) 637-5085 |
| NPI Number | 1508328899 |
|---|---|
| Provider Enumeration Date | 04/04/2019 |
| Last Update Date | 12/16/2019 |
| Certification Date | 12/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508328899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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