Willow Park Dental Center PA
Dentist in Houston, TX. Organization (NPI-2).
NPI number1619087970
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1619087970
- Entity type
- Organization (NPI-2)
- Legal business name
- Willow Park Dental Center PA
- Organization subpart
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 18838 | TX | Yes |
Practice location
13715 Tomball ParkwayHouston, TX 77086
Phone 281-260-8888 · Fax 281-260-8593
Mailing address
13715 Tomball ParkwayHouston, TX 77086
Phone 281-543-8520 · Fax 281-260-8593
Authorized official
Tu Ren
President Dentist
2815438520
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