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Organization
WASHINGTON DENTAL
Active
Organization
WASHINGTON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICIO TOVAR D.D.S. (OWNER)
(713) 802-0044
Entity
Organization
Contact information
Practice address
2515 WASHINGTON AVE, HOUSTON, TX 77007-6342
(713) 802-0044
(713) 802-2162
Mailing address
2515 WASHINGTON AVE, HOUSTON, TX 77007-6342
(713) 802-0044
(713) 802-2162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090792502
—
TX
05
—
160126201
—
TX
Enumeration date
01/29/2007
Last updated
03/02/2016
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