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Organization
TBD, PLLC
Active
Organization
TBD, PLLC
Active
Other names
University Oaks Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA BONNER (OFFICE MANAGER)
(713) 461-8012
Entity
Organization
Contact information
Practice address
6363 SAN FELIPE ST STE 200B, HOUSTON, TX 77057-2704
(713) 461-8012
Mailing address
6363 SAN FELIPE ST STE 200B, HOUSTON, TX 77057-2704
(713) 461-8012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
08/28/2020
Last updated
05/02/2023
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