Organization · Type 2 NPI
La Michoacana Dental Clinic #2
Dental Clinic/Center · Pasadena, TX
NPI number
1265794317
Active
Practice location
6500 Spencer Hwy, Suite 120
Pasadena, TX 77505-1704
Fax (281) 741-9546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 18185 (TX) |
| Dental Clinic/Center | 261QD0000X | 27247 (TX) |
Dental Clinic/Center: Definition to come...
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About NPI 1265794317
La Michoacana Dental Clinic #2's National Provider Identifier is 1265794317, issued on Jun 14, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pasadena, TX. The record was last updated on Jun 14, 2012.