MEDICARE: DENTAL CLINICS OF TEXAS,PLLC

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		TX
2	1223P0221X	Pediatric Dentistry	24129	TX
3	1223P0300X	Periodontics		TX
4	1223X0008X	Oral and Maxillofacial Radiology Dentistry		TX
5	124Q00000X	Dental Hygienist		TX
6	126800000X	Dental Assistant		TX
7	1223G0001X	General Practice Dentistry		TX

General Provider Information

NPI Number	:	1770833758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL CLINICS OF TEXAS,PLLC

Provider Business Mailing Address
First Line	:	7825 HIGHWAY 6 N
Second Line	:	SUITE 108
City	:	HOUSTON
State	:	TX
Zip	:	77095-1700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7825 HIGHWAY 6 N
Second Line	:	SUITE 108
City	:	HOUSTON
State	:	TX
Zip	:	77095-1700
Country	:	US
Telephone Number	:	513-250-9996
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. YUNUS LANGHA
Credential	:	DDS
Telephone Number	:	513-250-9996

Provider Enumeration Date	:	09/17/2012
Last Update Date	:	09/17/2012

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