Organization
ISLA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENAYAT ASTANI D.D.S (DOCTOR)
(832) 831-5173
Entity
Organization
Contact information
Practice address
900 S WAYSIDE DR, HOUSTON, TX 77023-3427
(832) 831-5173
(832) 831-5174
Mailing address
900 S WAYSIDE DR, SUITE 100, HOUSTON, TX 77023-3427
(832) 831-5173
(832) 831-5174
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
26032
TX
Other
Enumeration date
12/20/2013
Last updated
08/01/2014
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