Organization
THE WOODLANDS PROSTHODONTICS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAIBHAV LATTHE B.D.S.,M.D.S., C.D.T (PRESIDENT)
(713) 360-8448
Entity
Organization
Contact information
Practice address
150 PINE FOREST DR STE 111, SHENANDOAH, TX 77384-5303
(832) 966-0400
Mailing address
150 PINE FOREST DR STE 111, SHENANDOAH, TX 77384-5303
(832) 966-0400
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
32258
TX
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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