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Organization
TLN FAMILY DENTAL PA
Active
Organization
TLN FAMILY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMEKA LA KEISHA NICKLEBERRY D.D.S. (OWNER)
(832) 654-2143
Entity
Organization
Contact information
Practice address
14522 S POST OAK RD, SUITE 110A, HOUSTON, TX 77045-6037
(713) 723-2600
Mailing address
5734 GASSER LN, HOUSTON, TX 77085-5200
(832) 654-2143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22283
TX
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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