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4201 Fm 1960 Rd W Suite # 230 Houston TX 77068-3414 | |
| (281) 537-1599 | |
| (281) 537-1310 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 4201 Fm 1960 Rd W, Houston, Texas |
| Authorized Official Name and Position | Alec H. Jaret (OWNER/PRESIDENT) |
| Authorized Official Contact | 6179646681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 Crossing Blvd Suite 300 Framingham MA 01702-5555 Ph: (617) 964-6681 | 4201 Fm 1960 Rd W Suite # 230 Houston TX 77068-3414 Ph: (281) 537-1599 |
| NPI Number | 1447286182 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447286182 | NPI | - | NPPES |
| 170556801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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