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Organization
JUSTIN DENTAL HEIGHTS PLLC
Active
Organization
JUSTIN DENTAL HEIGHTS PLLC
Active
Other names
BLVD Dentistry - Heights
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
107 YALE ST STE 300, HOUSTON, TX 77007-3730
(832) 900-2071
(832) 900-2072
Mailing address
107 YALE ST STE 300, HOUSTON, TX 77007-3730
(832) 900-2071
(832) 900-2072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25571
TX
Other
Enumeration date
05/17/2013
Last updated
02/27/2024
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