Organization
CONTEMPORARY ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SU FONG WAN DDS MS (DENTIST/OWNER)
(281) 647-6687
Entity
Organization
Contact information
Practice address
19235 KATY FREEWAY SOUTH, 300B, HOUSTON, TX 77094
(281) 674-6687
Mailing address
19235 KATY FREEWAY SOUTH, 300B, HOUSTON, TX 77094
(281) 674-6687
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22550
TX
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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