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Organization

JR MATA DENTISTRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER MATA DDS (PEDIATRIC DENTIST)
(281) 787-1866
Entity
Organization

Contact information

Practice address
16733 W AIRPORT BLVD STE 260, RICHMOND, TX 77407-5090
(713) 360-0850
Mailing address
4335 MILLERS CREEK CT, RICHMOND, TX 77406-7942
(281) 787-1866

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
04/08/2026
Last updated
04/08/2026
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