MEDICARE: CHILDRENS DENTISTRY & ORTHODONTICS PASADENA TX PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center
2	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1851103493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDRENS DENTISTRY & ORTHODONTICS PASADENA TX PLLC

Provider Business Mailing Address
First Line	:	17440 FM 529 RD STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-1167
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12000 WILCREST DR STE 207
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77031-1908
Country	:	US
Telephone Number	:	281-495-8828
Fax Number	:	832-464-7172

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. YUNUS LANGHA
Credential	:	DDS
Telephone Number	:	513-237-1786

Provider Enumeration Date	:	01/21/2025
Last Update Date	:	03/05/2025

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