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Organization
QUAIL VALLEY FAMILY DENTAL
Active
Organization
QUAIL VALLEY FAMILY DENTAL
Active
Parent organization
QUAIL VALLEY FAMILY DENTAL
Other names
Quail Valley Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUAIL VALLEY FAMILY DENTAL
Authorized official
KHALILAH NATHANISHA MCAFEE D.D.S. (OWNER/GENERAL DENTIST)
(281) 499-8340
Entity
Organization
Contact information
Practice address
2260 FM 1092 RD, MISSOURI CITY, TX 77459-1802
(281) 499-8340
Mailing address
2260 FM 1092 RD, MISSOURI CITY, TX 77459-1802
(281) 499-8340
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3391971
—
TX
Enumeration date
03/05/2015
Last updated
03/05/2015
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