Individual
MR. AMIT R JETHVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10228 BROADWAY ST., SUITE 132, PEARLAND, TX 77584-8089
(713) 436-2100
(713) 436-2933
Mailing address
10228 BROADWAY ST., SUITE 132, PEARLAND, TX 77584-8089
(713) 436-2100
(713) 436-2933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20487
TX
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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