# MAPLE LEAF DENTAL, PC

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

## Provider details

- **NPI number:** 1649142233
- **Authorized official:** LISA GIOVANETTI (DDS)
- **Authorized official phone:** (281) 497-5558

## Contact information

- **Practice address:** 14754 MEMORIAL DR STE 100, HOUSTON, TX 77079-5275
- **Practice address phone:** (281) 497-5558
- **Practice address fax:** (281) 497-7181
- **Mailing address:** 14754 MEMORIAL DR STE 100, HOUSTON, TX 77079-5275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2025
- **Last updated:** 09/22/2025