Organization
DENTAL COSMETIC CENTER OF HOUSTON
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD JENARD MOON DDS (PRESIDENT/DENTIST)
(712) 777-6453
Entity
Organization
Contact information
Practice address
4126 SOUTHWEST FWY, SUITE 1610, HOUSTON, TX 77027-7310
(713) 777-6453
(713) 850-7847
Mailing address
4126 SOUTHWEST FWY, SUITE 1610, HOUSTON, TX 77027-7310
(713) 777-6453
(713) 850-7847
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19552
TX
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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