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Organization
PAYTON CANCHOLA DDS PA
Active
Organization
PAYTON CANCHOLA DDS PA
Active
Other names
Canchola Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANIA IMPASTATO (PRACTICE ADMINISTRATOR)
(128) 183-2227
Entity
Organization
Contact information
Practice address
94 W GRAND PKWY S STE 240, KATY, TX 77494-7049
(281) 832-2278
Mailing address
94 W GRAND PKWY S STE 240, KATY, TX 77494-7049
(281) 832-2278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/28/2024
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