Individual
KEN FURUDATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, PHD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 745-4613
Mailing address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
NONE
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
NONE
TX
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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