Organization
DENTAL 4U
Active
Other names
Dental 4u
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARITZA VILLALTA (MANAGER)
(713) 681-1171
Entity
Organization
Contact information
Practice address
5901 WESTHEIMER RD STE D, HOUSTON, TX 77057-7607
(713) 636-9510
(832) 991-8108
Mailing address
5901 WESTHEIMER RD STE D, HOUSTON, TX 77057-7607
(713) 636-9510
(832) 991-8108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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