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Organization
SMS DENTAL MANAGEMENT, INC
Active
Organization
SMS DENTAL MANAGEMENT, INC
Active
Other names
Eldridge Parkway Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ALI F KHAN (CFO)
(713) 502-6893
Entity
Organization
Contact information
Practice address
1414 ELDRIDGE PKWY, HOUSTON, TX 77077-1625
(832) 243-4302
(832) 486-9528
Mailing address
1414 ELDRIDGE PKWY, HOUSTON, TX 77077-1625
(832) 243-4302
(832) 486-9528
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
614307189
—
TX
Enumeration date
11/26/2012
Last updated
11/26/2012
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