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Organization
MEMORIAL DENTAL CARE, PLLC
Active
Organization
MEMORIAL DENTAL CARE, PLLC
Active
Other names
Memorial Dental Care, Memorial Dental Care & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMERON WALLACE DDS (PRESIDENT)
(817) 235-4625
Entity
Organization
Contact information
Practice address
14441 MEMORIAL DR STE 11, HOUSTON, TX 77079-6737
(281) 493-1550
Mailing address
14441 MEMORIAL DR STE 11, HOUSTON, TX 77079-6737
(281) 493-1550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23910
TX
Other
Enumeration date
05/01/2018
Last updated
06/16/2018
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