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Organization

GRINOVATION PARK WEST PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HARIYALI KASUNDRA (GENERAL DENTIST)
(860) 944-7480
Entity
Organization

Contact information

Practice address
13180 WESTPARK DR STE 106, HOUSTON, TX 77082-4936
(281) 759-9191
(281) 759-9197
Mailing address
13180 WESTPARK DR STE 106, HOUSTON, TX 77082-4936
(281) 759-9191
(281) 759-9197

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
07/29/2024
Last updated
07/29/2024
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