# GRINOVATION PARK WEST PLLC

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

## Provider details

- **NPI number:** 1871322826
- **Authorized official:** HARIYALI KASUNDRA (GENERAL DENTIST)
- **Authorized official phone:** (860) 944-7480

## Contact information

- **Practice address:** 13180 WESTPARK DR STE 106, HOUSTON, TX 77082-4936
- **Practice address phone:** (281) 759-9191
- **Practice address fax:** (281) 759-9197
- **Mailing address:** 13180 WESTPARK DR STE 106, HOUSTON, TX 77082-4936
- **Mailing address phone:** (281) 759-9191
- **Mailing address fax:** (281) 759-9197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2024
- **Last updated:** 07/29/2024