Provider Demographics
NPI:1942805015
Name:KUVIS DENTAL PLLC
Entity Type:Organization
Organization Name:KUVIS DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTLE
Authorized Official - Middle Name:EGO
Authorized Official - Last Name:UDEZUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-213-8666
Mailing Address - Street 1:10750 BARKER CYPRESS RD STE 111
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2282
Mailing Address - Country:US
Mailing Address - Phone:281-213-8666
Mailing Address - Fax:
Practice Address - Street 1:10750 BARKER CYPRESS RD STE 111
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-2282
Practice Address - Country:US
Practice Address - Phone:281-213-8666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental