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Contact Information

WALLISVILLE DENTAL ASSOCIATES, PA
14570 WALLISVILLE ROAD
SUITE 2
HOUSTON, TX77049
 Phone: 713-453-2500
 Fax: 713-453-2501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for WALLISVILLE DENTAL ASSOCIATES PA · (Female)

NPI # 1083816458
Status Active
Credentials
Entity Individual
Enumeration date 06/05/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 21151
  • TX License # 22767
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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