Organization
COPPERFIELD SMILE CENTER, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MICHAEL DERR DDS (PARTNER)
(281) 443-7524
Entity
Organization
Contact information
Practice address
15218 WEST RD, HOUSTON, TX 77095-1916
(281) 550-7276
(281) 550-7295
Mailing address
2535 FM 1960 EAST, HOUSTON, TX 77073
(281) 550-7276
(281) 550-7295
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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