Organization
CHETWOOD DENTAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAN DOAN (MANAGER)
(281) 451-7886
Entity
Organization
Contact information
Practice address
6910 CHETWOOD DR STE C, HOUSTON, TX 77081-5612
(281) 451-7886
Mailing address
1718 COTTAGE LANDING LN, HOUSTON, TX 77077-1923
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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