# FOUNTAIN VIEW DENTAL

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

## Provider details

- **NPI number:** 1972045722
- **Authorized official:** DR. NISHANO THOMAS D.D.S. (OWNER)
- **Authorized official phone:** (713) 784-8235

## Contact information

- **Practice address:** 2929 FOUNTAIN VIEW DR, HOUSTON, TX 77057-6105
- **Practice address phone:** (713) 784-8235
- **Practice address fax:** (713) 974-0850
- **Mailing address:** 2929 FOUNTAIN VIEW DR, HOUSTON, TX 77057-6105
- **Mailing address phone:** (713) 784-8235
- **Mailing address fax:** (713) 974-0850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | TX10126 | TX | Yes |
| 122300000X | Dentist | TX27229 | TX | — |

## Other

- **Enumeration date:** 11/10/2016
- **Last updated:** 11/10/2016
