Organization
HOMESTEAD DENTAL, P.C
Active
Other names
AFFORDABLE DENTAL NORTH HOUSTON
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH OSAMOR D.D.S (PRESIDENT)
(281) 501-1196
Entity
Organization
Contact information
Practice address
9324 HOMESTEAD RD, HOUSTON, TX 77016-4832
(281) 501-1196
(281) 974-3371
Mailing address
9324 HOMESTEAD RD, HOUSTON, TX 77016-4832
(281) 501-1196
(281) 974-3371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4424956
KINTANA MEDICAID NUMBER
TX
Enumeration date
06/27/2012
Last updated
06/27/2012
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