Organization
D'ALTAVILLA ENTERPRISES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN CILENTO (PRESIDENT)
(713) 532-7311
Entity
Organization
Contact information
Practice address
18929 HIGHWAY 59 N, HUMBLE, TX 77338-4270
(713) 532-7311
Mailing address
PO BOX 130837, THE WOODLANDS, TX 77393-0837
(713) 532-7311
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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