# DR. MEAD & DR. HOUSTON DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Mead & Dr. Houston Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215671193
- **Authorized official:** MRS. ERICA HOUSTON DMD (DENTIST)
- **Authorized official phone:** (928) 486-0628

## Contact information

- **Practice address:** 101 RIVIERA DR, LAKE HAVASU CITY, AZ 86403-5736
- **Practice address phone:** (928) 486-0628
- **Mailing address:** 101 RIVIERA DR, LAKE HAVASU CITY, AZ 86403-5736
- **Mailing address phone:** (928) 486-0628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/26/2022
- **Last updated:** 04/26/2022