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Organization

ATASCOCITA CONTEMPORARY DENTISTRY AND ORTHODONTICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHUNDA THOMPSON DDS (ORTHODONTIST)
(281) 359-5551
Entity
Organization

Contact information

Practice address
6730 ATASCOCITA RD STE 111, HUMBLE, TX 77346-1995
(281) 359-5551
(281) 359-5516
Mailing address
134 VINTAGE PARK BLVD STE ABOX14, HOUSTON, TX 77070-3998

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14346842
CAQH
Enumeration date
02/17/2020
Last updated
02/17/2020
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