# ENDODONTICS & MICROSURGERY CENTER PC

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

## Provider details

- **NPI number:** 1790349165
- **Authorized official:** PAULA ANDREA MENDEZ MONTALVO D.D.S. (CO-OWNER/ENDODONTIST)
- **Authorized official phone:** (281) 655-8445

## Contact information

- **Practice address:** 23543 KINGSLAND BLVD STE 500, KATY, TX 77494-3962
- **Practice address phone:** (281) 655-8445
- **Practice address fax:** (346) 257-4962
- **Mailing address:** 23543 KINGSLAND BLVD STE 500, KATY, TX 77494-3962
- **Mailing address phone:** (281) 655-8445
- **Mailing address fax:** (346) 257-4962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2019
- **Last updated:** 06/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 25824 | TEXAS DENTAL LICENSE NUMBER | TX |