Provider Demographics
NPI:1326385360
Name:ALIEF PEDIATRIC DENTISTRY, PC
Entity Type:Organization
Organization Name:ALIEF PEDIATRIC DENTISTRY, PC
Other - Org Name:MYDENTIST OF SUGAR LAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YUNUS
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGHA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-250-9996
Mailing Address - Street 1:2603 KIMBLETON CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2048
Mailing Address - Country:US
Mailing Address - Phone:513-250-9996
Mailing Address - Fax:
Practice Address - Street 1:17420 W GRAND PKWY S
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2564
Practice Address - Country:US
Practice Address - Phone:281-342-1902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24129122300000X, 261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No122300000XDental ProvidersDentistGroup - Multi-Specialty