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Organization

CITY SMILES DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUSTAVO SALAS DDS MS (CEO)
(281) 589-6100
Entity
Organization

Contact information

Practice address
14740 BARRYKNOLL LN, SUITE 160, HOUSTON, TX 77079-2884
(281) 589-6100
(281) 752-0256
Mailing address
14740 BARRYKNOLL LN, SUITE 160, HOUSTON, TX 77079-2884
(281) 589-6100
(281) 752-0256

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Enumeration date
05/05/2016
Last updated
05/05/2016
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