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NPI Code Detail

MEDICARE: COSMETIC DENTAL CENTER OF FORT BEND

MEDICARE: COSMETIC DENTAL CENTER OF FORT BEND
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
1261QD0000XDental Clinic/Center24730TX

General Provider Information

NPI Number : 1710384524
Entity Type Code : Organization
Provider Name (Legal Business Name) : COSMETIC DENTAL CENTER OF FORT BEND
Provider Business Mailing Address
First Line : 4645 SWEETWATER BLVD SUITE #300
Second Line :
City : SUGARLAND
State : TX
Zip : 77479-3016
Country : US
Telephone Number : 281-313-5888
Fax Number : 281-313-5898
Provider Business Practice Location Address
First Line : 4645 SWEETWATER BLVD STE 300
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-3016
Country : US
Telephone Number : 281-313-5888
Fax Number : 281-313-5898
Authorized Official
Title or Position : DENTIST
Name : MR. RISHI RAJ KHANNA
Credential : DMD
Telephone Number : 281-313-5888
Provider Enumeration Date : 11/21/2014
Last Update Date : 11/21/2014

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Directions to “COSMETIC DENTAL CENTER OF FORT BEND ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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