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Organization
PREMIER DENTAL CLUB PC
Active
Organization
PREMIER DENTAL CLUB PC
Active
Other names
Premier Dental Club
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYA MANGAL DDS (OWNER)
(848) 218-8836
Entity
Organization
Contact information
Practice address
9720 CYPRESSWOOD DR STE 200, HOUSTON, TX 77070-3357
(346) 296-9056
(346) 501-4160
Mailing address
9720 CYPRESSWOOD DR STE 200, HOUSTON, TX 77070-3357
(346) 296-9056
(346) 501-4160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
08/28/2025
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