Organization
A 1 DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETH CASTRO DDS (OWNER)
(713) 774-3999
Entity
Organization
Contact information
Practice address
8101 FONDREN RD, HOUSTON, TX 77074-5903
(713) 774-3999
Mailing address
8101 FONDREN RD, HOUSTON, TX 77074-5903
(713) 774-3999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009508501
—
TX
Enumeration date
09/15/2009
Last updated
09/15/2009
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