Organization
HUMBLE 9701, PLLC
Active
Other names
Southern Charm Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KRUPA PATEL DDS (MANAGER)
(402) 216-6693
Entity
Organization
Contact information
Practice address
9701 N SAM HOUSTON PKWY E, HUMBLE, TX 77396-4636
(832) 384-9767
(832) 827-6813
Mailing address
9701 N SAM HOUSTON PKWY E, HUMBLE, TX 77396-4636
(832) 384-9767
(832) 827-6813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
10/01/2020
Last updated
11/30/2022
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