Provider Demographics
NPI:1235651761
Name:MIRACLE HANDS DENTAL
Entity Type:Organization
Organization Name:MIRACLE HANDS DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SIKIRAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-517-1503
Mailing Address - Street 1:9432A HIGHWAY 6 S
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6306
Mailing Address - Country:US
Mailing Address - Phone:713-517-1503
Mailing Address - Fax:713-975-1003
Practice Address - Street 1:9432A HIGHWAY 6 S
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6306
Practice Address - Country:US
Practice Address - Phone:713-517-1503
Practice Address - Fax:713-975-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental