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Individual
KYLE ROSS HOUSTON
Active
Individual
KYLE ROSS HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11888837-9925
UT
Other
Enumeration date
06/14/2017
Last updated
08/16/2021
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