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NPI Code Detail

MEDICARE: JENNA MAI DDS

MEDICARE:   JENNA  MAI  DDS
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
1122300000XDentist35335TX

General Provider Information

NPI Number : 1982265229
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA MAI DDS
Provider Business Mailing Address
First Line : 11315 FROST RIVER CT
Second Line :
City : TOMBALL
State : TX
Zip : 77377-8767
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9344 JONES RD STE M
Second Line :
City : HOUSTON
State : TX
Zip : 77065-5362
Country : US
Telephone Number : 281-970-3649
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2019
Last Update Date : 06/26/2019

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Directions to “ JENNA MAI DDS” Practice Location

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