Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
FWB DENTAL
Active
Organization
FWB DENTAL
Active
Other names
Willowbrook Mall Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADA MATYTSIN DDS (OWNER/DENTIST)
(281) 955-5558
Entity
Organization
Contact information
Practice address
1684 WILLOWBROOK MALL, HOUSTON, TX 77070-6027
(281) 955-5558
(281) 955-8763
Mailing address
1684 WILLOWBROOK MALL, HOUSTON, TX 77070-6027
(281) 955-5558
(281) 955-8763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30466
TX
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up