Individual
AI TON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1850 FOUNTAIN VIEW DR, HOUSTON, TX 77057-3004
(713) 783-1095
Mailing address
3000 BISSONNET ST APT 6203, HOUSTON, TX 77005-4088
(940) 224-2118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33111
TX
Other
Enumeration date
07/15/2017
Last updated
07/15/2017
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