| Splendora Dental PLLC | |
|
13825 Highway 59 Suite C Splendora TX 77372-4836 | |
| (281) 689-8000 | |
| (409) 232-0550 |
| Full Name | Splendora Dental PLLC |
|---|---|
| Speciality | Dentist |
| Location | 13825 Highway 59, Splendora, Texas |
| Authorized Official Name and Position | Geetika Rastogi (OWNER) |
| Authorized Official Contact | 8323696941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Splendora Dental PLLC 3838 N Sam Houston Pkwy E Ste 430 Houston TX 77032-3418 Ph: (832) 369-6941 | Splendora Dental PLLC 13825 Highway 59 Suite C Splendora TX 77372-4836 Ph: (281) 689-8000 |
| NPI Number | 1043624653 |
|---|---|
| Provider Enumeration Date | 06/12/2014 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043624653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | () | Secondary |
| 1223P0700X | Dentist - Prosthodontics | () | Secondary |