Organization
FELICIA PRANATA, PLLC
Active
Other names
Magnolia Creek Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICIA PRANATA DDS (MANAGER)
(713) 530-5168
Entity
Organization
Contact information
Practice address
1940 W LEAGUE CITY PKWY STE 170, LEAGUE CITY, TX 77573-7338
(281) 241-9114
Mailing address
1131 JUNIPER CANYON LN, HOUSTON, TX 77062-2059
(713) 530-5168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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