Organization
DENTAL COUTURE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRATIK VAKIL D.M.D (MANAGING MEMBER)
(832) 259-4006
Entity
Organization
Contact information
Practice address
14637 MEMORIAL DRIVE, SUITE B, HOUSTON, TX 77079
(832) 259-4006
Mailing address
14637 MEMORIAL DRIVE, SUITE B, HOUSTON, TX 77079
(832) 259-4006
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
29275
TX
Other
Enumeration date
09/18/2014
Last updated
09/24/2014
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