# A & A DENTAL CLINIC, P.C.

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

## Provider details

- **NPI number:** 1578739066
- **Authorized official:** DR. ANGEL DAVID SANCHEZ D.D.S. (PROSTHODONTICS)
- **Authorized official phone:** (713) 643-2500

## Contact information

- **Practice address:** 3201 BROADWAY ST, HOUSTON, TX 77017
- **Practice address phone:** (713) 643-2500
- **Practice address fax:** (713) 643-2797
- **Mailing address:** 3201 BROADWAY ST, HOUSTON, TX 77017-2320
- **Mailing address phone:** (713) 643-2500
- **Mailing address fax:** (713) 643-2797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 16936 | TX | Yes |
| 1223P0700X | Prosthodontics | 16936 | TX | — |

## Other

- **Enumeration date:** 05/05/2008
- **Last updated:** 02/03/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1111221-02 | — | TX |
| 01 | — | 16939 | STATE LICENSE | TX |
| 01 | — | G60166-01 | PROVIDER ID | TX |