Organization
AMITA DAMANI DDS, PA
Active
Other names
Pediatric Dental Safari
Organization subpart
No
Provider details
NPI number
Authorized official
AMITA DAMANI DDS (OWNER, PRESIDENT)
(832) 203-8577
Entity
Organization
Contact information
Practice address
947 GESSNER RD STE A240, HOUSTON, TX 77024-1729
(832) 203-8577
(281) 929-0813
Mailing address
947 GESSNER RD STE A240, HOUSTON, TX 77024-1729
(832) 203-8577
(281) 929-0813
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24788
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
25257
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134443468
—
TX
Enumeration date
10/19/2017
Last updated
10/19/2017
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