Organization
MEMORIAL DENTAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NEHA JOSHI (CREDENTIALING SPECIALIST)
(281) 899-0094
Entity
Organization
Contact information
Practice address
11451 KATY FWY STE 105, HOUSTON, TX 77079-2008
(713) 465-8239
Mailing address
11451 KATY FWY STE 105, HOUSTON, TX 77079-2008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/12/2019
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