Organization
PERIODONTAL CENTER OF EXCELLENCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI SAAM SAJADI DDS MSD (MANAGING PARTNER)
(832) 452-8625
Entity
Organization
Contact information
Practice address
3 GROGANS PARK DR STE 103, SPRING, TX 77380-2937
(281) 292-1833
Mailing address
3 GROGANS PARK DR STE 103, SPRING, TX 77380-2937
(281) 292-1833
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28219
LICENSE
TX
Enumeration date
08/19/2022
Last updated
08/19/2022
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