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Organization
MODERN AESTHETICS DENTAL P.A.
Active
Organization
MODERN AESTHETICS DENTAL P.A.
Active
Other names
Modern Aesthetics Dental Centre
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P CIMINO DDS (CEO)
(504) 909-9434
Entity
Organization
Contact information
Practice address
25201 KUYKENDAHL RD, 450 & 500, TOMBALL, TX 77375-3351
(504) 909-9434
Mailing address
3410 LOUISIANA ST, 3309, HOUSTON, TX 77002-9500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24594
TX
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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