| Cleveland Dental PLLC | |
|
1214 E Houston St Cleveland TX 77327-4754 | |
| (281) 520-2150 | |
| Not Available |
| Full Name | Cleveland Dental PLLC |
|---|---|
| Speciality | Dentist |
| Location | 1214 E Houston St, Cleveland, Texas |
| Authorized Official Name and Position | Luis Ortega (OWNER) |
| Authorized Official Contact | 2815202150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Dental PLLC 7727 Adagio Ave Houston TX 77040-2536 Ph: (281) 520-2150 | Cleveland Dental PLLC 1214 E Houston St Cleveland TX 77327-4754 Ph: (281) 520-2150 |
| NPI Number | 1124869342 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124869342 | NPI | - | NPPES |
| 1891308433 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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