Organization
BRILLIANT DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M FREEMAN DDS (DDS/OWNER)
(713) 839-0900
Entity
Organization
Contact information
Practice address
4000 WASHINGTON AVE, STE 201, HOUSTON, TX 77007-5673
(713) 839-0900
Mailing address
4000 WASHINGTON AVE, STE 201, HOUSTON, TX 77007-5673
(713) 839-0900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19679
TX
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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