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Organization
JA DENTAL GROUP PLLC
Active
Organization
JA DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH AIGBEDION DDS (DR.)
(832) 279-4326
Entity
Organization
Contact information
Practice address
21784 KATY FWY STE 200, KATY, TX 77449-7790
(832) 930-7741
Mailing address
21784 KATY FWY STE 200, KATY, TX 77449-7790
(832) 930-7741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
09/14/2022
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