MEDICARE: SHWETA LOYA, D.D.S., P.A.

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1992958896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHWETA LOYA, D.D.S., P.A.

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	:	OWNER
Name	:	DR. SHWETA V LOYA
Credential	:	DDS
Telephone Number	:	281-646-1133

Provider Enumeration Date	:	10/23/2008
Last Update Date	:	06/23/2010

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