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1140 Clear Lake City Blvd # C Houston TX 77062-8103 | |
| (281) 286-8945 | |
| (281) 486-4193 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1140 Clear Lake City Blvd # C, Houston, Texas |
| Authorized Official Name and Position | Vijay Bhagia (ORTHODONTIST) |
| Authorized Official Contact | 2812868945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1140 Clear Lake City Blvd # C Houston TX 77062-8103 Ph: (281) 286-8945 | 1140 Clear Lake City Blvd # C Houston TX 77062-8103 Ph: (281) 286-8945 |
| NPI Number | 1851301238 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851301238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20597 (Texas) | Primary |
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