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Organization
JPM DENTAL, PLLC
Active
Organization
JPM DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRANAV MODY DDS (OWNER)
(713) 385-3019
Entity
Organization
Contact information
Practice address
6915 FM 1960 RD W STE G, HOUSTON, TX 77069-3701
(713) 385-3019
Mailing address
17723 LUMINAIRE LN, RICHMOND, TX 77407-7932
(713) 375-3019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320032108
—
TX
Enumeration date
10/23/2020
Last updated
10/18/2021
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