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Organization
TG IMPEX PLLC
Active
Organization
TG IMPEX PLLC
Active
Other names
Aqua Dental Friendswood
Organization subpart
No
Provider details
NPI number
Authorized official
CHASITY MOORE (MANGER)
(713) 436-2782
Entity
Organization
Contact information
Practice address
1111 S FRIENDSWOOD DR STE 107, FRIENDSWOOD, TX 77546-5493
(713) 436-2782
Mailing address
1111 S FRIENDSWOOD DR STE 107, FRIENDSWOOD, TX 77546-5493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437447398
MUDDASAR TUKDI, DMD
TX
01
—
1487797668
RAHUL GANDHI, DMD
TX
Enumeration date
08/27/2019
Last updated
08/27/2019
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