Organization
FORT BEND PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERVIN AMINI (CREDENTIALING SPECIALIST)
(713) 647-8199
Entity
Organization
Contact information
Practice address
5819 HWY 6, SUITE 210, MISSOURI CITY, TX 77459-4069
(281) 499-3275
Mailing address
5819 HWY 6, SUITE 210, MISSOURI CITY, TX 77459-4069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/04/2010
Last updated
08/05/2021
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