# LEON XAVIER FOREMAN DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Icon Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689684417
- **Authorized official:** LEON FOREMAN JR. D.D.S. (OWNER)
- **Authorized official phone:** (713) 266-2929

## Contact information

- **Practice address:** 6776 SOUTHWEST FREEWAY, SUITE 252, HOUSTON, TX 77074
- **Practice address phone:** (713) 266-2929
- **Practice address fax:** (713) 266-4602
- **Mailing address:** 6776 SOUTHWEST FREEWAY, SUITE 252, HOUSTON, TX 77074
- **Mailing address phone:** (713) 266-2929
- **Mailing address fax:** (713) 266-4602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 21095 | TX | — |
| 1223G0001X | General Practice Dentistry | 21521 | TX | — |
| 1223P0221X | Pediatric Dentistry | 23589 | TX | — |
| 261QD0000X | Dental Clinic/Center | 21521 | TX | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 09/14/2011