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Organization
CHILDREN 1ST HOUSTON WEST, LLC
Active
Organization
CHILDREN 1ST HOUSTON WEST, LLC
Active
Parent organization
DENTAL ASC, LLC
Other names
Children 1st Dental & Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL ASC, LLC
Authorized official
CRAIG O. JACOBS D.P.M. (MANAGING MEMBER)
(972) 279-1200
Entity
Organization
Contact information
Practice address
8700 S GESSNER DR. SUITE 200, HOUSTON, TX 77074
(214) 412-1500
(214) 412-1510
Mailing address
3055 BARDIN RD STE 400, GRAND PRAIRIE, TX 75052-3819
(214) 412-1500
(214) 412-1510
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2013
Last updated
05/31/2018
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