| La Porte Mint Dentistry | |
|
1309 W Fairmont Pkwy Ste C La Porte TX 77571-6123 | |
| (214) 821-6468 | |
| Not Available |
| Full Name | La Porte Mint Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1309 W Fairmont Pkwy Ste C, La Porte, Texas |
| Authorized Official Name and Position | Field Harrison (OWNER/CEO) |
| Authorized Official Contact | 2148216468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Porte Mint Dentistry 11811 North Fwy Ste 600 Houston TX 77060-3261 | La Porte Mint Dentistry 1309 W Fairmont Pkwy Ste C La Porte TX 77571-6123 Ph: (214) 821-6468 |
| NPI Number | 1487207957 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 07/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487207957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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