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Organization

ORTHODONTICS AND COSMETIC DENTISTRY HOUSTON GROUP PA

Active
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Organization

ORTHODONTICS AND COSMETIC DENTISTRY HOUSTON GROUP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAFAEL FRANCISCO DIAZ DMD (PRESIDENT)
(832) 616-3117
Entity
Organization

Contact information

Practice address
25326 OAKHURST DR, SPRING, TX 77386-1425
(832) 616-3117
Mailing address
PO BOX 8577, SPRING, TX 77387-8577
(832) 616-3117
(832) 616-3123

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23149
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
23149
TX

Other

Enumeration date
12/11/2008
Last updated
04/15/2025
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