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Organization
KMN DENTAL PC
Active
Organization
KMN DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP MAMMEN (OWNER)
(281) 394-3440
Entity
Organization
Contact information
Practice address
23123 CINCO RANCH BLVD, STE 230, KATY, TX 77494-4042
(281) 394-3440
(281) 394-3933
Mailing address
23123 CINCO RANCH BLVD, STE 230, KATY, TX 77494-4042
(281) 394-3440
(281) 394-3933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0023225
TX
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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