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Organization
ICARE DENTAL
Active
Organization
ICARE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONG PENG DMD (DENTIST)
(781) 627-6588
Entity
Organization
Contact information
Practice address
5425 HIGHWAY 6 STE C100, MISSOURI CITY, TX 77459-4390
(281) 261-8258
Mailing address
3010 LEONA CT, PEARLAND, TX 77584-8725
(781) 627-6588
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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