# PURE DENTAL STUDIO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548724560
- **Authorized official:** DR. BRYAN T LE DDS (PRESIDENT)
- **Authorized official phone:** (832) 604-7737

## Contact information

- **Practice address:** 9101 JONES RD STE A, HOUSTON, TX 77065-4403
- **Practice address phone:** (832) 302-2354
- **Mailing address:** 9101 JONES RD STE A, HOUSTON, TX 77065-4403
- **Mailing address phone:** (832) 604-7737
- **Mailing address fax:** (832) 604-7620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2019
- **Last updated:** 02/27/2024