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Organization

KATY PERIODONTICS MANAGEMENT INC

Active
Parent organization
KATY PERIODONTICS MANAGEMENT, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
KATY PERIODONTICS MANAGEMENT, INC
Authorized official
DR. TIMOTHY MICHAEL HALE DDS (OWNER)
(281) 392-6000
Entity
Organization

Contact information

Practice address
810 S. MASON RD., STE. 325, KATY, TX 77450-3858
(281) 392-6000
(281) 392-6811
Mailing address
810 S. MASON RD., STE. 325, KATY, TX 77450-3858
(281) 392-6000
(281) 392-6811

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
08/16/2024
Last updated
08/16/2024
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