Provider Demographics
NPI:1811317324
Name:COMFORT DENTAL CARE, P.C.
Entity type:Organization
Organization Name:COMFORT DENTAL CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-240-0207
Mailing Address - Street 1:13425 UNIVERSITY BLVD.
Mailing Address - Street 2:SUITE900
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-0110
Mailing Address - Country:US
Mailing Address - Phone:281-240-0207
Mailing Address - Fax:281-265-0655
Practice Address - Street 1:13425 UNIVERSITY BLVD.
Practice Address - Street 2:SUITE 900
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-0110
Practice Address - Country:US
Practice Address - Phone:281-240-0207
Practice Address - Fax:281-265-0655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22826122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty