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Organization

MAPLE LEAF DENTAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA GIOVANETTI (DDS)
(281) 497-5558
Entity
Organization

Contact information

Practice address
14754 MEMORIAL DR STE 100, HOUSTON, TX 77079-5275
(281) 497-5558
(281) 497-7181
Mailing address
14754 MEMORIAL DR STE 100, HOUSTON, TX 77079-5275

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary

Other

Enumeration date
09/22/2025
Last updated
09/22/2025
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