| West Lake Colonnade Dental, Pllc | |
|
18477 W Lake Houston Pkwy Suite 80 Humble TX 77346-3517 | |
| (281) 812-3333 | |
| (281) 812-3332 |
| Full Name | West Lake Colonnade Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18477 W Lake Houston Pkwy, Humble, Texas |
| Authorized Official Name and Position | Brandy Michelle Burnett (GENERAL COUNSEL) |
| Authorized Official Contact | 2818123333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Lake Colonnade Dental, Pllc 18477 W Lake Houston Pkwy Suite 80 Humble TX 77346-3517 Ph: (281) 812-3333 | West Lake Colonnade Dental, Pllc 18477 W Lake Houston Pkwy Suite 80 Humble TX 77346-3517 Ph: (281) 812-3333 |
| NPI Number | 1427146463 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427146463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21713 (Texas) | Primary |
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