Organization · Type 2 NPI

Sandeep P. Mammen, D.m.d., P.c.

Dental Clinic/Center · Houston, TX

NPI number 1154690782 Active

Practice location

7324 Southwest Fwy, Suite 490
Houston, TX 77074-2012

Fax (713) 777-7137

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	23225 (TX)

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NPI record

NPI: 1154690782
Entity type: Organization (Type 2)
Issued: Dec 28, 2011
Last updated: Dec 28, 2011
Status: Active
Subpart: Yes of Sandeep P. Mammen, D.m.d., P.c.

Other names

<unavail>
The Smile Enhancement Center · doing business as

Authorized official

Dr. Sandeep P Mammen, DMD
President
(713) 777-1774

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About NPI 1154690782

Sandeep P. Mammen, D.m.d., P.c.'s National Provider Identifier is 1154690782, issued on Dec 28, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Houston, TX. The record was last updated on Dec 28, 2011.