# BAYOU CITY SMILES

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

## Provider details

- **NPI number:** 1538394994
- **Authorized official:** RAYMUND MARCUS DEGUZMAN DMD (DENTIST)
- **Authorized official phone:** (713) 518-1411

## Contact information

- **Practice address:** 4000 WASHINGTON AVENUE, SUITE 201, HOUSTON, TX 77007
- **Practice address phone:** (713) 518-1411
- **Practice address fax:** (713) 802-9495
- **Mailing address:** 4000 WASHINGTON AVENUE, SUITE 201, HOUSTON, TX 77007
- **Mailing address phone:** (713) 518-1411
- **Mailing address fax:** (713) 802-9495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 20348 | TX | Yes |

## Other

- **Enumeration date:** 05/28/2009
- **Last updated:** 05/28/2009
