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Organization
PERIODONTAL CENTER OF EXCELLENCE PLLC
Active
Organization
PERIODONTAL CENTER OF EXCELLENCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI SAAM SAJADI DDS MSD (MANAGING PARTNER)
(832) 452-8625
Entity
Organization
Contact information
Practice address
3 GROGANS PARK DR STE 103, SPRING, TX 77380-2937
(281) 292-1833
Mailing address
3 GROGANS PARK DR STE 103, SPRING, TX 77380-2937
(281) 292-1833
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28219
LICENSE
TX
Enumeration date
08/19/2022
Last updated
08/19/2022
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