University Of Texas At Houston School Of Dent-unversity Dental Center

NPI 1659759306 - Dentist - 122300000X

NPI Details
NPI 1659759306
Enumeration Date 05/14/2015
Last Updated 05/14/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name SUDARAT SUDARAT
Position DIRECTOR OF AEGD RESIDENCY PROGRAM
Phone (713) 500-7171
Fax
Practice Location
6410 FANNIN ST
SUITE 310
HOUSTON TX, 77030-3000, US
Phone (713) 500-7171
Fax
Business Location
6410 FANNIN ST
SUITE 310
HOUSTON TX, 77030-3000, US
Phone (713) 500-7171
Fax
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 30590
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According to our database, University Of Texas At Houston School Of Dent-unversity Dental Center NPI is 1659759306, taxonomy code is 122300000X and license number is 30590, license state is located at Texas. University Of Texas At Houston School Of Dent-unversity Dental Center physically located at 6410 Fannin St, Houston TX, 77030-3000. NPI Number 1033115704 has the healthcare provider type.

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1659759306 NPI number is provided on an as is basis without warranty of any kind. 1659759306 is maintained by the National Plan & Provider Enumeration System. The contents of University Of Texas At Houston School Of Dent-unversity Dental Center are for informational purposes only.