RANDALL W HOLLENBERG DDS PA
Managed Care Organizations at Mason Rd, Katy, TX

License number
Texas 13188
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: RANDALL W HOLLENBERG DDS
Title: PRESIDENT
Phone: (281) 392-3333
Address
Address 2
830 S Mason Rd STE B2, Katy, TX 77450
18000 Groeschke Rd STE D2, Houston, TX 77084
National Provider ID: 1487892808
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RANDALL W. HOLLENBERG, DDS PA

830 S Mason Rd STE B2, Katy, TX 77450

Doing business as:
Katy Kids Dentist<br>Randall W. Hollenberg, DDS PA
Registration:
Nov 25, 2008
State ID:
0801056047
Business type:
Professional Association
Director , Member , President:
Randall W. Hollenberg (Director , Member , President)
Agent:
Randall W Hollenberg,830 S Mason Rd B-2, Katy, TX 77450 (Physical)
TIN:
32038406479

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