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Organization
LONESTAR GRINS DENTAL AND ORTHODONTICS, PC
Active
Organization
LONESTAR GRINS DENTAL AND ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHUNDA THOMPSON BANKS DDS (OWNER)
(713) 775-2888
Entity
Organization
Contact information
Practice address
3648 FM 1960 RD W STE 246B, HOUSTON, TX 77068-3617
(281) 919-2983
Mailing address
12022 VIA PALAZZO LN, CYPRESS, TX 77429-7434
(171) 377-5288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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