Individual
JACKSON VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7500 CAMBRIDGE ST, HOUSTON, TX 77054
(713) 487-7691
Mailing address
1885 EL PASEO ST, APT 32205, HOUSTON, TX 77054
(281) 755-1708
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
ETN1076
TX
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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