Provider Demographics
NPI:1295964989
Name:MAFLA, EDGAR (DDS)
Entity type:Individual
Prefix:DR
First Name:EDGAR
Middle Name:
Last Name:MAFLA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8303 N SAM HOUSTON PKWY E STE C
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4933
Mailing Address - Country:US
Mailing Address - Phone:346-616-5350
Mailing Address - Fax:346-616-5353
Practice Address - Street 1:8303 N SAM HOUSTON PKWY E STE C
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-4933
Practice Address - Country:US
Practice Address - Phone:346-616-5350
Practice Address - Fax:346-616-5353
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24793122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty