Organization
ANGEL SMILE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARJANEH AZAD DDS (OWNER)
(713) 772-6435
Entity
Organization
Contact information
Practice address
6909 HILLCROFT, SUITE 1F, HOUSTON, TX 77081
(713) 772-6435
Mailing address
6909 HILLCROFT ST, STE 1F, HOUSTON, TX 77081-4822
(713) 772-6435
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
19925
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161520501
—
TX
Enumeration date
06/09/2008
Last updated
06/09/2008
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