# LA MICHOACANA DENTAL CLINIC LLC

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

## Provider details

- **NPI number:** 1225339435
- **Authorized official:** DR. ADELINA P MONTY DDS (MANAGING MEMBER)
- **Authorized official phone:** (713) 691-1188

## Contact information

- **Practice address:** 150 W PARKER RD, SUITE 702, HOUSTON, TX 77076-2951
- **Practice address phone:** (713) 691-1188
- **Practice address fax:** (713) 691-1196
- **Mailing address:** 150 W PARKER RD, SUITE 702, HOUSTON, TX 77076-2951
- **Mailing address phone:** (713) 691-1188
- **Mailing address fax:** (713) 691-1196

## Taxonomy

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

## Other

- **Enumeration date:** 11/04/2010
- **Last updated:** 11/04/2010