Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
TRINIDAD FAMILY DENTAL PLLC
Active
Organization
TRINIDAD FAMILY DENTAL PLLC
Active
Other names
Miramar Family Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KEYTTIA BEOVIDES BONACHEA DMD (DENTIST)
(832) 779-8444
Entity
Organization
Contact information
Practice address
6127 N FRY RD, KATY, TX 77449-5563
(832) 779-8444
Mailing address
6127 N FRY RD, KATY, TX 77449-5563
(832) 779-8444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
05/18/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up