Organization
LA MICHOACANA DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADELINA P MONTY DDS (MANAGING MEMBER)
(713) 691-1188
Entity
Organization
Contact information
Practice address
150 W PARKER RD, SUITE 702, HOUSTON, TX 77076-2951
(713) 691-1188
(713) 691-1196
Mailing address
150 W PARKER RD, SUITE 702, HOUSTON, TX 77076-2951
(713) 691-1188
(713) 691-1196
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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