Organization
SYNTHESIS DENTAL GROUP PLLC
Active
Other names
Aquario Ortho
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTN RODEN-JOHNSON DDS, MS (OWNER)
(832) 203-7968
Entity
Organization
Contact information
Practice address
900 S WAYSIDE DR, STE 100, HOUSTON, TX 77023-3427
(832) 203-7968
Mailing address
5656 BEE CAVES RD, STE B104, AUSTIN, TX 78746
(832) 203-7968
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22109
TX
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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