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Organization
TEXAS DENTAL ASSOC PA
Active
Organization
TEXAS DENTAL ASSOC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT ZIEGENBEIN DDS (OWNER)
(713) 490-8880
Entity
Organization
Contact information
Practice address
16535 SOUTHWEST FWY, STE 570, SUGAR LAND, TX 77479-2321
(281) 456-8388
(713) 490-6464
Mailing address
2536 AMHERST ST, STE. A, HOUSTON, TX 77005-3207
(713) 490-8880
(713) 490-6464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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