Provider Demographics
NPI:1144327651
Name:PALMIRA TESTA DDS PA
Entity type:Organization
Organization Name:PALMIRA TESTA DDS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PALMIRA
Authorized Official - Middle Name:ROSA
Authorized Official - Last Name:TESTA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-521-3131
Mailing Address - Street 1:2202 WAUGH DR.
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-1118
Mailing Address - Country:US
Mailing Address - Phone:713-521-3131
Mailing Address - Fax:713-521-1222
Practice Address - Street 1:2202 WAUGH DR.
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-1118
Practice Address - Country:US
Practice Address - Phone:713-521-3131
Practice Address - Fax:713-521-1222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-19
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17997122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty