Organization
KTJP HUNTSVILLE DENTAL PLLC
Active
Other names
Huntsville Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE LE (OFFICE MANAGER)
(832) 878-3353
Entity
Organization
Contact information
Practice address
1333 WINDSOR ST, HUNTSVILLE, TX 77340-5615
(936) 291-9021
Mailing address
1333 WINDSOR ST, HUNTSVILLE, TX 77340-5615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
07/24/2020
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