MEDICARE: DR. JUNE M. SADOWSKY DDS, MPH

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	122300000X	Dentist	13394	TX

General Provider Information

NPI Number	:	1699973586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUNE M. SADOWSKY DDS, MPH

Provider Business Mailing Address
First Line	:	7447 BROMPTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-2262
Country	:	US
Telephone Number	:	713-838-9921
Fax Number	:	713-838-1245

Provider Business Practice Location Address
First Line	:	831 FROSTWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-4131
Country	:	US
Telephone Number	:	713-467-0587
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	07/08/2007

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