Organization
HOUSTON RED OAK DRIVE DENTAL, PC
Active
Parent organization
HOUSTON RED OAK DRIVE DENTAL, PC
Other names
Northwest Pediatric Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSTON RED OAK DRIVE DENTAL, PC
Authorized official
MAGDALENA EVANS (SR. CREDENTIALING SPECIALIST)
(720) 272-7558
Entity
Organization
Contact information
Practice address
1125 CYPRESS STATION DR STE 3, HOUSTON, TX 77090-3054
(281) 583-4600
Mailing address
1125 CYPRESS STATION DR STE 3, HOUSTON, TX 77090-3054
(281) 583-4600
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/05/2018
Last updated
02/28/2025
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