Provider Demographics
NPI:1669770384
Name:KLEIN DENTAL CENTER, P.C.
Entity type:Organization
Organization Name:KLEIN DENTAL CENTER, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-376-3600
Mailing Address - Street 1:16832 STUEBNER AIRLINE RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-6207
Mailing Address - Country:US
Mailing Address - Phone:281-376-3600
Mailing Address - Fax:281-376-3600
Practice Address - Street 1:16832 STUEBNER AIRLINE RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6207
Practice Address - Country:US
Practice Address - Phone:281-376-3600
Practice Address - Fax:281-376-3600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11117122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty