Organization
ENDODONTICS & MICROSURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA ANDREA MENDEZ MONTALVO D.D.S. (CO-OWNER/ENDODONTIST)
(281) 655-8445
Entity
Organization
Contact information
Practice address
23543 KINGSLAND BLVD STE 500, KATY, TX 77494-3962
(281) 655-8445
(346) 257-4962
Mailing address
23543 KINGSLAND BLVD STE 500, KATY, TX 77494-3962
(281) 655-8445
(346) 257-4962
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25824
TEXAS DENTAL LICENSE NUMBER
TX
Enumeration date
04/30/2019
Last updated
06/11/2019
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