Individual
DR. LEENA M MOONNUMAKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4001 GARTH RD STE 104, BAYTOWN, TX 77521-3100
(281) 427-4736
Mailing address
5362 MCCULLOCH CIR, HOUSTON, TX 77056-6619
(714) 595-3558
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0023784
TX
Other
Enumeration date
06/09/2008
Last updated
04/28/2011
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