Organization
HOUSTON ORAL SURGERY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIETER MOYA DDS (PARTNER)
(713) 457-6337
Entity
Organization
Contact information
Practice address
7500 SAN FELIPE ST STE 300, HOUSTON, TX 77063-1716
(713) 457-6337
Mailing address
7500 SAN FELIPE ST STE 300, HOUSTON, TX 77063-1716
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376983973
NPPES
TX
Enumeration date
12/06/2019
Last updated
12/06/2019
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