# TOWN AND COUNTRY ORTHODONTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710239116
- **Authorized official:** DR. CARIN DOMANN (ORTHODONTIST)
- **Authorized official phone:** (713) 465-3400

## Contact information

- **Practice address:** 788 W SAM HOUSTON PKWY N, SUITE \#201, HOUSTON, TX 77024-3974
- **Practice address phone:** (713) 465-3400
- **Practice address fax:** (713) 465-3401
- **Mailing address:** 788 W SAM HOUSTON PKWY N, SUITE \#201, HOUSTON, TX 77024-3974
- **Mailing address phone:** (713) 465-3400
- **Mailing address fax:** (713) 465-3401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 22867 | TX | — |
| 261QD0000X | Dental Clinic/Center | 23517 | TX | Yes |

## Other

- **Enumeration date:** 10/09/2012
- **Last updated:** 06/02/2015
