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Organization
JYRON WALLS ,DDS
Active
Organization
JYRON WALLS ,DDS
Active
Other names
Sunnyside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JYRON WALLS DDS (OWNER)
(713) 738-1999
Entity
Organization
Contact information
Practice address
4040 AIRPORT BLVD, HOUSTON, TX 77047-1158
(713) 738-1999
Mailing address
4040 AIRPORT BLVD, HOUSTON, TX 77047-1158
(713) 738-1999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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