Organization
EVEREST DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONG V DO D.D.S (PRESIDENT)
(832) 274-9062
Entity
Organization
Contact information
Practice address
7312 LOUETTA RD, B-119, SPRING, TX 77379-6175
(281) 376-1735
Mailing address
7312 LOUETTA RD, B-119, SPRING, TX 77379-6175
(281) 376-1735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21221
TX
Other
Enumeration date
04/02/2007
Last updated
08/07/2007
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