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Organization

MODERN DENTAL PROFESSIONALS HOUSTON PC

Active
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Organization

MODERN DENTAL PROFESSIONALS HOUSTON PC

Active
Other names
Castle Dental and Monarch Dental
Organization subpart
No

Provider details

NPI number
Authorized official
LILIANA MARTINEZ (CREDENTIALING DIRECTOR)
(949) 308-9792
Entity
Organization

Contact information

Practice address
3570 SPENCER HWY, PASADENA, TX 77504-1110
(713) 947-9800
(713) 634-7404
Mailing address
8415 DATAPOINT DR STE 1020, SAN ANTONIO, TX 78229-3277

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
11/09/2006
Last updated
04/08/2024
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