| Advanced Implant And Periodontal Professionals Pa | |
|
1011 Medical Plaza Dr Suite #140 The Woodlands TX 77380-3249 | |
| (281) 681-2422 | |
| (866) 352-0357 |
| Full Name | Advanced Implant And Periodontal Professionals Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1011 Medical Plaza Dr, The Woodlands, Texas |
| Authorized Official Name and Position | Jason D. West (OWNER/PROVIDER) |
| Authorized Official Contact | 2816812422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Implant And Periodontal Professionals Pa 1011 Medical Plaza Dr Suite #140 The Woodlands TX 77380-3249 Ph: (281) 681-2422 | Advanced Implant And Periodontal Professionals Pa 1011 Medical Plaza Dr Suite #140 The Woodlands TX 77380-3249 Ph: (281) 681-2422 |
| NPI Number | 1275812430 |
|---|---|
| Provider Enumeration Date | 08/05/2011 |
| Last Update Date | 04/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275812430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 21111 (Texas) | Primary |
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