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Organization

ANGELA DENTAL CENTER, P.L.L.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AUSYEH ANGELA TAVAKKOLI D.D.S (OWNER)
(832) 877-0962
Entity
Organization

Contact information

Practice address
6906 AIRLINE DR STE 106, HOUSTON, TX 77076-2455
(713) 691-8880
Mailing address
4006 SAND MYRTLE DR, HOUSTON, TX 77059-3028
(832) 877-0962

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24041
TX

Other

Enumeration date
05/19/2012
Last updated
05/19/2012
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