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Organization
DENTAL COSMETIC CENTER OF HOUSTON
Active
Organization
DENTAL COSMETIC CENTER OF HOUSTON
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD JENARD MOON DDS (PRESIDENT/DENTIST)
(712) 777-6453
Entity
Organization
Contact information
Practice address
4126 SOUTHWEST FWY, SUITE 1610, HOUSTON, TX 77027-7310
(713) 777-6453
(713) 850-7847
Mailing address
4126 SOUTHWEST FWY, SUITE 1610, HOUSTON, TX 77027-7310
(713) 777-6453
(713) 850-7847
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19552
TX
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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