Organization
FLOSS N GLOSS
Active
Other names
Pearland Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUDDASSAR TUKDI DMD (DENTIST)
(281) 886-7143
Entity
Organization
Contact information
Practice address
10223 BROADWAY ST STE D1, PEARLAND, TX 77584-7881
(281) 886-7143
Mailing address
10223 BROADWAY ST STE D1, PEARLAND, TX 77584-7881
(281) 886-7143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27183
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283973001
—
TX
Enumeration date
07/29/2013
Last updated
07/29/2013
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