Provider Demographics
NPI:1326747791
Name:STANZ DENTAL PLLC
Entity Type:Organization
Organization Name:STANZ DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SETHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-324-1709
Mailing Address - Street 1:3907 VALLEY GREEN CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-5556
Mailing Address - Country:US
Mailing Address - Phone:818-324-1709
Mailing Address - Fax:
Practice Address - Street 1:410 E FAIRMONT PKWY STE E
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:TX
Practice Address - Zip Code:77571-6486
Practice Address - Country:US
Practice Address - Phone:210-470-2749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty