Organization
DENTALIM PLLC
Active
Other names
DENATLIM PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDA ANN VARGHESE (DDS)
(832) 206-4927
Entity
Organization
Contact information
Practice address
11734 BARKER CYPRESS RD STE 113, CYPRESS, TX 77433-2770
(281) 256-8771
Mailing address
11734 BARKER CYPRESS RD STE 113, CYPRESS, TX 77433-2770
(281) 256-8771
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DL-45825847
—
TX
Enumeration date
07/21/2020
Last updated
07/21/2020
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