# CINCO MEADOWS DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023776861
- **Authorized official:** AMANDA SALAS (OFFICE MANAGER)
- **Authorized official phone:** (281) 347-1993

## Contact information

- **Practice address:** 25900 CINCO RANCH BLVD, KATY, TX 77494-2988
- **Practice address phone:** (281) 347-1993
- **Mailing address:** 25900 CINCO RANCH BLVD, KATY, TX 77494-2988
- **Mailing address phone:** (281) 347-1993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2021
- **Last updated:** 11/29/2021