Enchanted Forest Pediatric Dentistry | |
17450 St Lukes Way Suite 260 The Woodlands TX 77384-8044 | |
(936) 231-8705 | |
(936) 447-9681 |
Full Name | Enchanted Forest Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 17450 St Lukes Way, The Woodlands, Texas |
Authorized Official Name and Position | Luz M Rojas (PRESIDENT) |
Authorized Official Contact | 9362318705 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Enchanted Forest Pediatric Dentistry 17450 St Lukes Way Suite 260 The Woodlands TX 77384-8044 Ph: (936) 231-8705 | Enchanted Forest Pediatric Dentistry 17450 St Lukes Way Suite 260 The Woodlands TX 77384-8044 Ph: (936) 231-8705 |
NPI Number | 1104263508 |
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Provider Enumeration Date | 05/27/2013 |
Last Update Date | 05/27/2013 |
Identifier | Type | State | Issuer |
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1104263508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 21458 (Texas) | Primary |
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