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Organization
THE DENTAL EDGE OF HOUSTON, PC
Active
Organization
THE DENTAL EDGE OF HOUSTON, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN JONES D.D.S. (PRESIDENT)
(281) 370-9442
Entity
Organization
Contact information
Practice address
21177 STATE HIGHWAY 249, HOUSTON, TX 77070-1655
(281) 370-9442
Mailing address
1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407
(770) 916-5031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
10/02/2015
Last updated
12/06/2016
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