MEDICARE: KLEIN FAMILY DENTAL

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	24077	TX

General Provider Information

NPI Number	:	1467949420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KLEIN FAMILY DENTAL

Provider Business Mailing Address
First Line	:	1690 S DAIRY ASHFORD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3822
Country	:	US
Telephone Number	:	281-531-9258
Fax Number	:

Provider Business Practice Location Address
First Line	:	1690 S DAIRY ASHFORD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3822
Country	:	US
Telephone Number	:	281-531-9258
Fax Number	:

Authorized Official
Title or Position	:	DDS
Name	:	DR. AMY JOYCE KLEIN
Credential	:
Telephone Number	:	281-531-9258

Provider Enumeration Date	:	04/16/2018
Last Update Date	:	04/16/2018

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Directions to “KLEIN FAMILY DENTAL ” Practice Location

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