Organization
SANDEEP P. MAMMEN, D.M.D., P.C.
Active
Parent organization
SANDEEP P. MAMMEN, D.M.D., P.C.
Other names
The Smile Enhancement Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANDEEP P. MAMMEN, D.M.D., P.C.
Authorized official
DR. SANDEEP P MAMMEN DMD (PRESIDENT)
(713) 777-1774
Entity
Organization
Contact information
Practice address
7324 SOUTHWEST FWY, SUITE 490, HOUSTON, TX 77074-2012
(713) 777-1774
(713) 777-7137
Mailing address
7324 SOUTHWEST FWY, SUITE 490, HOUSTON, TX 77074-2012
(713) 777-1774
(713) 777-7137
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174582522
NPI-I
—
Enumeration date
12/28/2011
Last updated
12/28/2011
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