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Organization
SOUTH HOUSTON FAMILY DENTAL
Active
Organization
SOUTH HOUSTON FAMILY DENTAL
Active
Other names
south houston family dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRIYA T GANJU D.D.S. (DENTIST)
(713) 941-7555
Entity
Organization
Contact information
Practice address
701 COLLEGE AVE, SOUTH HOUSTON, TX 77587-4205
(713) 941-7555
(713) 951-7527
Mailing address
701 COLLEGE AVE, SOUTH HOUSTON, TX 77587-4205
(713) 941-7555
(713) 951-7527
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578745931
—
TX
Enumeration date
03/12/2012
Last updated
03/12/2012
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