Individual
ISATU ALET MUNU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 W EL DORADO BLVD # C1, FRIENDSWOOD, TX 77546-6516
(281) 990-8448
Mailing address
3003 SUMMER ST, HOUSTON, TX 77007-4896
(301) 825-6599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02793500
NJ
1223P0700X
Prosthodontics
18414
MD
1223P0700X
Prosthodontics
Primary
39345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22DI02793500
—
NJ
05
—
39345
—
TX
Enumeration date
05/11/2020
Last updated
12/04/2024
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