Organization
CARUS DENTAL PC
Active
Parent organization
CARUS DENTAL PC
Other names
Carus Dental Atascocita
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARUS DENTAL PC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
19121 W LAKE HOUSTON PKWY STE E, HUMBLE, TX 77346-4826
(281) 446-2153
Mailing address
19121 W LAKE HOUSTON PKWY STE E, HUMBLE, TX 77346-4826
(281) 446-2153
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15769
TX
Other
Enumeration date
07/08/2015
Last updated
01/20/2022
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