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Organization

NORTHWEST PEDIATRIC DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIA A GREEN D.D.S (OWNER)
(281) 583-4600
Entity
Organization

Contact information

Practice address
17222 RED OAK DR, SUITE 104, HOUSTON, TX 77090-2648
(281) 583-4600
(281) 586-7051
Mailing address
17222 RED OAK DR, SUITE 104, HOUSTON, TX 77090-2648
(281) 583-4600
(281) 586-7051

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20388
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487709556
TX
05
1619062718
TX
Enumeration date
06/04/2008
Last updated
06/04/2008
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