# HOMESTEAD DENTAL, P.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AFFORDABLE DENTAL NORTH HOUSTON
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023372745
- **Authorized official:** DR. KENNETH OSAMOR D.D.S (PRESIDENT)
- **Authorized official phone:** (281) 501-1196

## Contact information

- **Practice address:** 9324 HOMESTEAD RD, HOUSTON, TX 77016-4832
- **Practice address phone:** (281) 501-1196
- **Practice address fax:** (281) 974-3371
- **Mailing address:** 9324 HOMESTEAD RD, HOUSTON, TX 77016-4832
- **Mailing address phone:** (281) 501-1196
- **Mailing address fax:** (281) 974-3371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2012
- **Last updated:** 06/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4424956 | KINTANA MEDICAID NUMBER | TX |