Organization
DENTALSURE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY D PHO DDS (CEO)
(832) 856-0626
Entity
Organization
Contact information
Practice address
2681 WILCREST DR, HOUSTON, TX 77042-3211
(713) 787-5434
Mailing address
16010 SANDY RING CT, CYPRESS, TX 77429-3899
(832) 856-0626
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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