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Organization
MAI VANTAGE DENTAL PLLC
Active
Organization
MAI VANTAGE DENTAL PLLC
Active
Other names
Restoration Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MAI DDS (OWNER)
(832) 613-7743
Entity
Organization
Contact information
Practice address
28527 TOMBALL PKWY, TOMBALL, TX 77375-4545
(832) 613-7743
(281) 907-8003
Mailing address
28527 TOMBALL PKWY, TOMBALL, TX 77375-4545
(713) 623-1122
(281) 907-8003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28160
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3093486-13
—
TX
05
—
3728164-01
—
TX
Enumeration date
07/27/2017
Last updated
02/07/2024
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