Organization
ENVISION DENTAL PROFESSIONAL CORPORATION
Active
Other names
Braces Plus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSITA HAMIDI DDS (PRESIDENT)
(281) 733-3381
Entity
Organization
Contact information
Practice address
10175 WESTVIEW DR, HOUSTON, TX 77043-4401
(281) 733-3381
Mailing address
10175 WESTVIEW DR, HOUSTON, TX 77043-4401
(281) 733-3381
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24075
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
24075
TX
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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