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Organization
LUIS EMILIO REY DMD PLLC
Active
Organization
LUIS EMILIO REY DMD PLLC
Active
Other names
San Juan Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA ALICIA ESCOBAR (MANAGER)
(281) 631-9200
Entity
Organization
Contact information
Practice address
13630 VETERANS MEMORIAL DR STE H, HOUSTON, TX 77014-1054
(281) 631-9200
(281) 631-9201
Mailing address
13630 VETERANS MEMORIAL DR STE H, HOUSTON, TX 77014-1054
(281) 631-9200
(281) 631-9201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29360
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3784662
—
TX
Enumeration date
02/06/2018
Last updated
02/06/2018
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