Organization
SOMERSET HOLDINGS LLC
Active
Other names
Avalon Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY PARK (CFO)
(713) 569-9755
Entity
Organization
Contact information
Practice address
4030 FM 1463 RD STE 103, KATY, TX 77494-5499
(832) 789-1997
(832) 789-3466
Mailing address
7411 STONE ARBOR DR, SUGAR LAND, TX 77479-6381
(713) 569-9755
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32068436834
DENTAL OFFICE
TX
Enumeration date
08/25/2021
Last updated
08/25/2021
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