Individual
CARLYE MARQUETTE DIERCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 WOODWAY DR STE 250, HOUSTON, TX 77057-1589
(713) 782-3123
Mailing address
3418 CINCO LAKES DR, KATY, TX 77450-5775
(713) 858-6054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42457
TX
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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