Organization
HOUSTON CHILDREN'S DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVIN LARSEN (CEO)
(717) 759-4375
Entity
Organization
Contact information
Practice address
3800 N SHEPHERD DR STE B, HOUSTON, TX 77018-6411
(713) 814-4717
(713) 568-1633
Mailing address
9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1213
(713) 489-2198
(713) 489-2978
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2010
Last updated
01/27/2025
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