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Organization

CISNEROS DENTISTRY PLLC

Active
Other names
Family Dentistry Pasadena
Organization subpart
No

Provider details

NPI number
Authorized official
CARMEN MARMOL (OFFICE MANAGER)
(832) 489-2881
Entity
Organization

Contact information

Practice address
918 W SOUTHMORE AVE STE 115, PASADENA, TX 77502-1020
(832) 489-2881
Mailing address
918 W SOUTHMORE AVE STE 115, PASADENA, TX 77502-1020

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22148
TSBDE
TX
Enumeration date
05/15/2019
Last updated
05/15/2019
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