Organization
BRIAR FOREST DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRA ARCENEAUX (OFFICE MANAGER)
(713) 784-4430
Entity
Organization
Contact information
Practice address
1988 WILCREST DR, SUITE G, HOUSTON, TX 77042-2638
(713) 784-4430
(713) 784-0101
Mailing address
1988 WILCREST DR., SUITE G, HOUSTON, TX 77042
(713) 784-4430
(713) 784-0101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21468
TX
1223G0001X
General Practice Dentistry
22353
TX
1223G0001X
General Practice Dentistry
Primary
22419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1747586067
—
TX
Enumeration date
03/18/2010
Last updated
03/18/2010
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