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NPI Code Detail

MEDICARE: WHOLISTIC DENTAL ASSOCIATES, PA

MEDICARE: WHOLISTIC DENTAL ASSOCIATES, PA
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
1122300000XDentist012297TX

General Provider Information

NPI Number : 1871562587
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHOLISTIC DENTAL ASSOCIATES, PA
Provider Business Mailing Address
First Line : 7500 SAN FELIPE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1798
Country : US
Telephone Number : 713-785-7767
Fax Number : 713-785-2584
Provider Business Practice Location Address
First Line : 7500 SAN FELIPE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1798
Country : US
Telephone Number : 713-785-7767
Fax Number : 713-785-2584
Authorized Official
Title or Position : OWNER/DENTIST
Name : MARILYN K JONES
Credential :
Telephone Number : 713-785-7767
Provider Enumeration Date : 03/15/2006
Last Update Date : 08/22/2020

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Directions to “WHOLISTIC DENTAL ASSOCIATES, PA ” Practice Location

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