MEDICARE: DR. SHWETA V LOYA 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	122300000X	Dentist	22350	TX

General Provider Information

NPI Number	:	1902019920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHWETA V LOYA DDS

Provider Business Mailing Address
First Line	:	17748 KATY FWY
Second Line	:	SUITE 5
City	:	HOUSTON
State	:	TX
Zip	:	77094-1336
Country	:	US
Telephone Number	:	281-646-1133
Fax Number	:

Provider Business Practice Location Address
First Line	:	17748 KATY FWY
Second Line	:	SUITE 5
City	:	HOUSTON
State	:	TX
Zip	:	77094-1336
Country	:	US
Telephone Number	:	281-646-1133
Fax Number	:

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

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	04/05/2024

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