Premiumsmile PLLC
Dentist, Dental Public Health in Houston, TX. Organization (NPI-2).
NPI number1831978238
StatusActive
Last updated in NPPESSep 25, 2023
Details
- NPI
- 1831978238
- Entity type
- Organization (NPI-2)
- Legal business name
- Premiumsmile PLLC
- Organization subpart
- No
- Enumeration date
- Sep 25, 2023
- Certification date
- Sep 25, 2023
- Last updated
- Sep 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223D0001X | Dentist, Dental Public Health | – | – | Yes |
Practice location
6421 W 43rd StHouston, TX 77092-4005
Phone 832-941-4010
Mailing address
6421 W 43rd StHouston, TX 77092-4005
Authorized official
Philip Onyirimba
Authorized Official
4692331987
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