# SOUTHWEST ORAL AND IMPLANT

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

## Provider details

- **NPI number:** 1437400678
- **Authorized official:** DR. MICHAEL K EKLUND D.D.S, M.S, (SURGEON/ OWNER)
- **Authorized official phone:** (713) 439-7575

## Contact information

- **Practice address:** 24 GREENWAY PLZ STE 1708, HOUSTON, TX 77046-2417
- **Practice address phone:** (713) 439-7575
- **Practice address fax:** (713) 439-0924
- **Mailing address:** 24 GREENWAY PLZ STE 1708, HOUSTON, TX 77046-2417
- **Mailing address phone:** (713) 439-7575
- **Mailing address fax:** (713) 439-0924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 23400 | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9491 | TX | Yes |

## Other

- **Enumeration date:** 09/27/2012
- **Last updated:** 09/27/2012