Organization
CLEAR LAKE MODERN DENTISTRY, PC
Active
Other names
Clear Lake Modern Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW HENEHAN DDS (OWNER DOCTOR)
(281) 990-9400
Entity
Organization
Contact information
Practice address
1000 BAY AREA BOULEVARD SUITE A, HOUSTON, TX 77058
(281) 990-9400
(281) 990-9200
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2011
Last updated
12/31/2013
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