# J. MARIO VELASQUEZ D.D.S.

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

## Provider details

- **NPI number:** 1851507883
- **Authorized official:** CAROL P JARAMILLO OM (MANAGER)
- **Authorized official phone:** (713) 785-3355

## Contact information

- **Practice address:** 9388 RICHMOND AVE, HOUSTON, TX 77063-3947
- **Practice address phone:** (713) 785-3355
- **Practice address fax:** (713) 785-7007
- **Mailing address:** 9388 RICHMOND AVE, HOUSTON, TX 77063-3947
- **Mailing address phone:** (713) 785-3355
- **Mailing address fax:** (713) 785-7007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 06/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009790903 | — | TX |
