Provider Demographics
NPI:1619746294
Name:ACE ENDODONTICS HOUSTON
Entity Type:Organization
Organization Name:ACE ENDODONTICS HOUSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAHRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUM MALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-268-0801
Mailing Address - Street 1:13750 BRITOAK LN STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2011
Mailing Address - Country:US
Mailing Address - Phone:713-468-8264
Mailing Address - Fax:713-935-9412
Practice Address - Street 1:13750 BRITOAK LN STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2011
Practice Address - Country:US
Practice Address - Phone:713-468-8264
Practice Address - Fax:713-935-9412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-25
Last Update Date:2023-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty