Organization
AVALON DENTAL CARE SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDHYA R KONDAPANENI DDS (PRESIDENT)
(832) 729-9637
Entity
Organization
Contact information
Practice address
12131 WESTHEIMER RD, SUITE A, HOUSTON, TX 77077-6872
(832) 729-9637
Mailing address
12131 WESTHEIMER RD, SUITE A, HOUSTON, TX 77077-6872
(832) 729-9637
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23618
TX
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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