Organization
C.C. TREJO D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORLETTA TREJO DDS (DENTIST)
(713) 785-4867
Entity
Organization
Contact information
Practice address
2600 S GESSNER RD, SUITE 304, HOUSTON, TX 77063-3200
(713) 785-4867
(713) 785-1191
Mailing address
2600 S GESSNER RD, SUITE 304, HOUSTON, TX 77063-3200
(713) 785-4867
(713) 785-1191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17954
TX
1223P0300X
Periodontics
19095
TX
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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