Individual
JACQUELINE CLARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D, M.S.D.
Contact information
Practice address
3201 BROADWAY ST, HOUSTON, TX 77017-2320
(713) 643-2500
Mailing address
1885 EL PASEO ST APT 32307, HOUSTON, TX 77054-3051
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
30763
TX
Other
Enumeration date
07/30/2015
Last updated
04/01/2021
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