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Organization
MLS DENTAL GROUP PLLC
Active
Organization
MLS DENTAL GROUP PLLC
Active
Other names
DENTIST 101
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SU (PRESIDENT)
(713) 773-1300
Entity
Organization
Contact information
Practice address
9180 BELLAIRE BLVD STE B, HOUSTON, TX 77036-4600
(713) 773-1300
(713) 773-3311
Mailing address
9180 BELLAIRE BLVD STE B, HOUSTON, TX 77036-4600
(713) 773-1300
(713) 773-3311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
04/12/2016
Last updated
04/09/2026
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