| Grand Parkway Pediatric Dental | |
|
7910 W Grand Pkwy S Ste 100 Richmond TX 77406-5834 | |
| (832) 222-8687 | |
| Not Available |
| Full Name | Grand Parkway Pediatric Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7910 W Grand Pkwy S Ste 100, Richmond, Texas |
| Authorized Official Name and Position | Faisal M Khan (OWNER/DENTIST) |
| Authorized Official Contact | 8322228687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Parkway Pediatric Dental 7910 W Grand Pkwy S Ste 100 Richmond TX 77406-5834 Ph: (832) 222-8687 | Grand Parkway Pediatric Dental 7910 W Grand Pkwy S Ste 100 Richmond TX 77406-5834 Ph: (832) 222-8687 |
| NPI Number | 1194091736 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 12/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194091736 | NPI | - | NPPES |
| 202975308 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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