| Luna Dental Pllc | |
|
5822 Sienna Pkwy Ste 850 Missouri City TX 77459-7356 | |
| (832) 277-7805 | |
| Not Available |
| Full Name | Luna Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5822 Sienna Pkwy Ste 850, Missouri City, Texas |
| Authorized Official Name and Position | Nathan Kerdlappol (OWNER/DENTIST) |
| Authorized Official Contact | 8322777805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Dental Pllc 4642 Sanders Meadow Ln Sugar Land TX 77479-7089 Ph: (832) 277-7805 | Luna Dental Pllc 5822 Sienna Pkwy Ste 850 Missouri City TX 77459-7356 Ph: (832) 277-7805 |
| NPI Number | 1083248652 |
|---|---|
| Provider Enumeration Date | 02/23/2020 |
| Last Update Date | 12/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083248652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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