Individual
MR. JOSE BAZALDUA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
7635 CANAL ST, HOUSTON, TX 77012-1143
(713) 660-1880
Mailing address
802 N PARKER RD, LA FERIA, TX 78559-6343
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22912
TX
Other
Enumeration date
02/03/2022
Last updated
01/03/2023
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