Organization
CORNERSTONE KIDS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M TREVINO DDS (PEDIATRIC DENTIST)
(281) 444-3999
Entity
Organization
Contact information
Practice address
14721 PEBBLE BEND DR, SUITE B, HOUSTON, TX 77068-2929
(281) 444-3999
(281) 444-8079
Mailing address
14721 PEBBLE BEND DR, SUITE B, HOUSTON, TX 77068-2929
(281) 444-3999
(281) 444-8079
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
24983
TX
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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