Individual
MRS. BONNIE DESHA HOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH,OM
Contact information
Practice address
1404 VAN WINKLE DR, CARROLLTON, TX 75007-1210
(972) 998-9100
Mailing address
1404 VAN WINKLE DR, CARROLLTON, TX 75007-1210
(972) 998-9100
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13372
TX
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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