Organization
SOUTHWEST ORAL AND IMPLANT
Active
Organization
SOUTHWEST ORAL AND IMPLANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K EKLUND D.D.S, M.S, (SURGEON/ OWNER)
(713) 439-7575
Entity
Organization
Contact information
Practice address
24 GREENWAY PLZ STE 1708, HOUSTON, TX 77046-2417
(713) 439-7575
(713) 439-0924
Mailing address
24 GREENWAY PLZ STE 1708, HOUSTON, TX 77046-2417
(713) 439-7575
(713) 439-0924
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
23400
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9491
TX
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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