Individual
DR. CLYDE COLLOM DOLLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12607 JONES RD, HOUSTON, TX 77070-4840
(281) 469-6281
(281) 469-6291
Mailing address
12607 JONES RD, HOUSTON, TX 77070-4840
(281) 469-6281
(281) 469-6291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10807
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11963
UNITED CONCORDIA
—
Enumeration date
10/26/2006
Last updated
07/08/2007
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