# IESOUS DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** hyatt dental bellaire
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154044162
- **Authorized official:** VERONICA GRACIA (OFFICE MANAGER)
- **Authorized official phone:** (346) 354-3505

## Contact information

- **Practice address:** 13442 BELLAIRE BLVD STE D, HOUSTON, TX 77083-2641
- **Practice address phone:** (832) 232-5353
- **Mailing address:** 13442 BELLAIRE BLVD STE D, HOUSTON, TX 77083-2641
- **Mailing address phone:** (832) 232-5353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2022
- **Last updated:** 11/08/2022