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Organization

JAY ELLIOTT D D S PA

Active
Other names
New Teeth Implant & Denture Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAY E ELLIOTT D.D.S. (OWNER DENTIST)
(713) 644-4331
Entity
Organization

Contact information

Practice address
4005 BROADWAY ST, HOUSTON, TX 77087-4703
(713) 644-4331
(713) 644-1975
Mailing address
4005 BROADWAY, HOUSTON, TX 77087-4703
(713) 644-4331
(713) 644-1975

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12723
TX

Other

Enumeration date
03/07/2007
Last updated
03/31/2010
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