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Organization

CAPSTONE DENTISTRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA JACKSON (OFFICE MANAGER)
(832) 361-3222
Entity
Organization

Contact information

Practice address
9526 N SAM HOUSTON PKWY E, HUMBLE, TX 77396-4733
(832) 361-3222
(832) 361-3212
Mailing address
9526 N SAM HOUSTON PKWY E, HUMBLE, TX 77396-4733
(832) 361-3222
(832) 361-3212

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223P0221X
Pediatric Dentistry
1223P0300X
Periodontics
1223P0700X
Prosthodontics
1223S0112X
Oral and Maxillofacial Surgery (Dentist)

Other

Enumeration date
08/31/2018
Last updated
08/31/2018
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