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Organization
LEON XAVIER FOREMAN DDS, PLLC
Active
Organization
LEON XAVIER FOREMAN DDS, PLLC
Active
Other names
Icon Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEON FOREMAN JR. D.D.S. (OWNER)
(713) 266-2929
Entity
Organization
Contact information
Practice address
6776 SOUTHWEST FREEWAY, SUITE 252, HOUSTON, TX 77074
(713) 266-2929
(713) 266-4602
Mailing address
6776 SOUTHWEST FREEWAY, SUITE 252, HOUSTON, TX 77074
(713) 266-2929
(713) 266-4602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21095
TX
1223G0001X
General Practice Dentistry
21521
TX
1223P0221X
Pediatric Dentistry
23589
TX
261QD0000X
Dental Clinic/Center
Primary
21521
TX
Other
Enumeration date
08/08/2006
Last updated
09/14/2011
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