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20212 Champion Forest Dr Ste 400 Spring TX 77379-8698 | |
(832) 303-5414 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 20212 Champion Forest Dr Ste 400, Spring, Texas |
Authorized Official Name and Position | Jonathan Patrick Mcewen (DENTIST) |
Authorized Official Contact | 2812107079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9318 Stratford Pl Tomball TX 77375-4299 Ph: (281) 210-7079 | 20212 Champion Forest Dr Ste 400 Spring TX 77379-8698 Ph: (832) 303-5414 |
NPI Number | 1336651561 |
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Provider Enumeration Date | 10/27/2017 |
Last Update Date | 10/27/2017 |
Identifier | Type | State | Issuer |
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1336651561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 24701 (Texas) | Primary |
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