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Organization

AMIT R JETHVA DDS PA

Active
Other names
Cosmetic and Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AMIT R JETHVA (DENTIST)
(713) 436-2100
Entity
Organization

Contact information

Practice address
10228 BROADWAY STREET SUITE 132, PEARLAND, TX 77584
(713) 436-2100
(713) 436-2933
Mailing address
10228 BROADWAY STREET SUITE 132, PEARLAND, TX 77584
(713) 436-2100
(713) 436-2933

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20487
TX

Other

Enumeration date
05/21/2007
Last updated
07/31/2008
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