Trinidad Family Dental PLLC
Dentist, General Practice in Katy, TX. Organization (NPI-2).
NPI number1528544988
StatusActive
Last updated in NPPESMay 18, 2023
Details
- NPI
- 1528544988
- Entity type
- Organization (NPI-2)
- Legal business name
- Trinidad Family Dental PLLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2018
- Certification date
- May 18, 2023
- Last updated
- May 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Miramar Family Dental Clinic (Doing Business As)
Practice location
6127 N Fry RdKaty, TX 77449-5563
Phone 832-779-8444
Mailing address
6127 N Fry RdKaty, TX 77449-5563
Phone 832-779-8444
Authorized official
Keyttia Beovides Bonachea
Dentist
8327798444
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