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General NPI Number Information
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NPI Number | 1023540226
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Entity Type | Organization
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Legal Business Name | SPRING KLEIN DENTISTRY,PC
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 6710 SPRING STUEBNER RD STE 700
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City | SPRING
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State | TX
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Zip | 77389-5197
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Country | US
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Telephone | 281-791-0043
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Fax | 281-547-7342
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Provider Business Mailing Address
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Address Line | 17000 RED HILL AVE
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City | IRVINE
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State | CA
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Zip | 92614-5626
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Country | US
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Telephone | 714-586-6071
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Fax | 949-474-1495
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. KOMAL PATEL
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Credential | DMD
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Telephone | 281-791-0043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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