# PHILIP J CIMO DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396108452
- **Authorized official:** DR. PHILIP JOSEPH CIMO DDS (OWNER)
- **Authorized official phone:** (713) 464-1887

## Contact information

- **Practice address:** 650 W BOUGH LN STE 160, HOUSTON, TX 77024-4099
- **Practice address phone:** (713) 464-1887
- **Practice address fax:** (713) 461-0605
- **Mailing address:** 650 W BOUGH LN STE 160, HOUSTON, TX 77024-4099
- **Mailing address phone:** (713) 464-1887
- **Mailing address fax:** (713) 461-0605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 20351 | TX | Yes |

## Other

- **Enumeration date:** 04/05/2016
- **Last updated:** 04/05/2016