Organization
ANGELA ISHAK DMD PLLC
Active
Other names
Premier Dental Studio of Katy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA ISHAK DMD (OWNER/DENTIST)
(281) 271-5100
Entity
Organization
Contact information
Practice address
6940 KATY GASTON RD STE 200, KATY, TX 77494-6480
(281) 271-5100
(281) 271-5110
Mailing address
6940 KATY GASTON RD STE 200, KATY, TX 77494-6480
(281) 271-5100
(281) 271-5110
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25225
DENTAL LICENSE #
TX
Enumeration date
10/22/2021
Last updated
10/22/2021
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