Organization
SUPER DENTAL BROS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PONTRELLI (CHIEF OPERATIONS OFFICER)
(832) 203-7968
Entity
Organization
Contact information
Practice address
900 S WAYSIDE DR STE 100, HOUSTON, TX 77023-3418
(346) 397-0752
Mailing address
900 S WAYSIDE DR STE 100, HOUSTON, TX 77023-3418
(346) 397-0752
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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