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Organization
NEW CANEY DENTAL PLLC
Active
Organization
NEW CANEY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABHISHEK VERMA (CREDENTIALING COORDINATOR)
(832) 369-6775
Entity
Organization
Contact information
Practice address
4109 HOUSTON HWY, VICTORIA, TX 77901-4700
(361) 482-0416
Mailing address
14623 HAMPTON GREEN LN, HOUSTON, TX 77044-5789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25968
TX
Other
Enumeration date
12/10/2015
Last updated
01/14/2019
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