Organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
Copperfield Crossing Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD)
(217) 540-8972
Entity
Organization
Contact information
Practice address
15620 FM 529 ROAD, HOUSTON, TX 77095
(281) 855-7774
(281) 855-7785
Mailing address
15620 FM 529 ROAD, HOUSTON, TX 77095
(281) 855-7774
(281) 855-7785
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12961
TX
1223G0001X
General Practice Dentistry
Primary
13245
TX
1223G0001X
General Practice Dentistry
13509
TX
Other
Enumeration date
12/13/2006
Last updated
01/03/2018
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