Individual
MR. KARDERRO DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25653 HIGHWAY 59 N STE 207, KINGWOOD, TX 77339-1797
(832) 463-4411
Mailing address
25653 HIGHWAY 59 N STE 207, KINGWOOD, TX 77339-1797
(985) 856-9279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35869
TX
1223G0001X
General Practice Dentistry
7025
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2019
Last updated
12/15/2022
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