| Lake Houston Endodontics | |
|
19100 W Lake Houston Pkwy Suite 103 Humble TX 77346-5138 | |
| (214) 300-1427 | |
| Not Available |
| Full Name | Lake Houston Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 19100 W Lake Houston Pkwy, Humble, Texas |
| Authorized Official Name and Position | Julio Gaitan (OWNER) |
| Authorized Official Contact | 2147968130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Houston Endodontics 215 N Crimson Clover Cir Spring TX 77381-3887 Ph: (214) 796-8130 | Lake Houston Endodontics 19100 W Lake Houston Pkwy Suite 103 Humble TX 77346-5138 Ph: (214) 300-1427 |
| NPI Number | 1871980318 |
|---|---|
| Provider Enumeration Date | 04/22/2015 |
| Last Update Date | 04/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871980318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (Texas) | Primary |
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