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Organization

DENTISTS AT MEMORIAL PARK

Active
Other names
Dentists At Memorial Park
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CATALINA CRUZ JOHNSON DDS (PRESIDENT)
(719) 861-8323
Entity
Organization

Contact information

Practice address
5535 MEMORIAL DRIVE, SUITE K, HOUSTON, TX 77007
(713) 861-8323
(713) 861-2307
Mailing address
5535 MEMORIAL DRIVE, SUITE K, HOUSTON, TX 77007
(713) 861-8323
(713) 861-2307

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21430
TX
1223G0001X
General Practice Dentistry
21437
TX
1223G0001X
General Practice Dentistry
Primary
22469
TX

Other

Enumeration date
08/31/2006
Last updated
08/17/2020
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