Organization
GH RADFORD DDS & ASSOC., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS PRESTON (OFFICE CREDENTIALING SPECIALIST)
(713) 291-3474
Entity
Organization
Contact information
Practice address
9330 BROADWAY ST STE 320B, PEARLAND, TX 77584-7895
(713) 340-0625
(713) 340-1881
Mailing address
3216 OAKMONT ST, HOUSTON, TX 77021-1131
(832) 723-5052
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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