Organization
LEON XAVIER FOREMAN DDS, PLLC
Active
Other names
Icon Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEON FOREMAN JR. D.D.S. (OWNER)
(713) 266-2929
Entity
Organization
Contact information
Practice address
6776 SOUTHWEST FREEWAY, SUITE 252, HOUSTON, TX 77074
(713) 266-2929
(713) 266-4602
Mailing address
6776 SOUTHWEST FREEWAY, SUITE 252, HOUSTON, TX 77074
(713) 266-2929
(713) 266-4602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21095
TX
1223G0001X
General Practice Dentistry
21521
TX
1223P0221X
Pediatric Dentistry
23589
TX
261QD0000X
Dental Clinic/Center
Primary
21521
TX
Other
Enumeration date
08/08/2006
Last updated
09/14/2011
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