Organization
AVENUE FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY HELAINNE VILLAFLOR AUSTRIA DDS (MEMBER/OWNER/DENTIST)
(713) 664-1800
Entity
Organization
Contact information
Practice address
5420 DASHWOOD DR, SUITE 300, HOUSTON, TX 77081-5357
(713) 664-1800
(713) 664-0114
Mailing address
5420 DASHWOOD DR, SUITE 300, HOUSTON, TX 77081-5357
(713) 664-1800
(713) 664-0114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24770
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205063502
—
TX
Enumeration date
12/02/2014
Last updated
12/02/2014
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