| Sea Lotus Dentistry | |
|
3422 Business Center Drive, Suite 116 Pearland TX 77584 | |
| (832) 930-7755 | |
| Not Available |
| Full Name | Sea Lotus Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3422 Business Center Drive, Suite 116, Pearland, Texas |
| Authorized Official Name and Position | Sophie Doan (MANAGING MEMBER) |
| Authorized Official Contact | 8329307755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Lotus Dentistry 3422 Business Center Dr Ste 116 Pearland TX 77584-4148 Ph: (832) 930-7755 | Sea Lotus Dentistry 3422 Business Center Drive, Suite 116 Pearland TX 77584 Ph: (832) 930-7755 |
| NPI Number | 1720567274 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720567274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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