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Organization
NORTHLINE DENTAL CENTER
Active
Organization
NORTHLINE DENTAL CENTER
Active
Other names
NONE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS CLARK DDS (OWNER)
(713) 691-1831
Entity
Organization
Contact information
Practice address
4402 AIRLINE DR, HOUSTON, TX 77022-2934
(713) 691-1831
(713) 691-3836
Mailing address
4402 AIRLINE DR, HOUSTON, TX 77022-2934
(713) 691-1831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10960
TX
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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