# SIRIUS DENTAL PLLC

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

## Provider details

- **NPI number:** 1588337943
- **Authorized official:** DR. TATYANA VAZEMILLER DDS (OWNER)
- **Authorized official phone:** (281) 979-9688

## Contact information

- **Practice address:** 4429 GRIGGS RD STE A, HOUSTON, TX 77021-2852
- **Practice address phone:** (281) 979-7688
- **Mailing address:** 16535 TOWN LAKE CT, HOUSTON, TX 77059-5546
- **Mailing address phone:** (281) 979-7688

## Taxonomy

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

## Other

- **Enumeration date:** 07/30/2021
- **Last updated:** 04/20/2022