MEDICARE: DR. ASIA S HOUSTON 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
1	1223G0001X	General Practice Dentistry	16371	MD

General Provider Information

NPI Number	:	1700301322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASIA S HOUSTON DDS

Provider Business Mailing Address
First Line	:	219 W BEL AIR AVE STE 1
Second Line	:
City	:	ABERDEEN
State	:	MD
Zip	:	21001-3256
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	219 W BEL AIR AVE STE 1
Second Line	:
City	:	ABERDEEN
State	:	MD
Zip	:	21001-3256
Country	:	US
Telephone Number	:	410-273-6363
Fax Number	:	410-272-8984

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

Provider Enumeration Date	:	08/04/2017
Last Update Date	:	07/15/2022

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