Olive Dental Group PC
Dentist, General Practice in Houston, TX. Organization (NPI-2).
NPI number1497313530
StatusActive
Last updated in NPPESJun 4, 2019
Details
- NPI
- 1497313530
- Entity type
- Organization (NPI-2)
- Legal business name
- Olive Dental Group PC
- Organization subpart
- No
- Enumeration date
- Jun 4, 2019
- Last updated
- Jun 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
4407 Fm 1960 Rd W Ste DHouston, TX 77068-3461
Phone 267-987-2237
Mailing address
10300 Katy Fwy Apt 141Houston, TX 77043-5125
Authorized official
Suzanne Mathai George
Dentist
2679872237
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