Individual
EDUARDO JOSE MONTERO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13215 GRANT RD STE 600, CYPRESS, TX 77429-4094
(832) 717-3000
Mailing address
13207 REGENCY OAK LN, CYPRESS, TX 77429-2984
(305) 606-5944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34321
TX
1223G0001X
General Practice Dentistry
34321
TX
Other
Enumeration date
07/16/2018
Last updated
08/10/2021
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