Individual
FELICIA PRANATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
13447 EAST FWY, HOUSTON, TX 77015-5901
(832) 767-5614
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
30112
TX
Other
Enumeration date
06/17/2014
Last updated
03/30/2022
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