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Organization

TOWN AND COUNTRY ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARIN DOMANN (ORTHODONTIST)
(713) 465-3400
Entity
Organization

Contact information

Practice address
788 W SAM HOUSTON PKWY N, SUITE #201, HOUSTON, TX 77024-3974
(713) 465-3400
(713) 465-3401
Mailing address
788 W SAM HOUSTON PKWY N, SUITE #201, HOUSTON, TX 77024-3974
(713) 465-3400
(713) 465-3401

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
22867
TX
261QD0000X
Dental Clinic/Center
Primary
23517
TX

Other

Enumeration date
10/09/2012
Last updated
06/02/2015
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