Organization
FOUNTAIN VIEW DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NISHANO THOMAS D.D.S. (OWNER)
(713) 784-8235
Entity
Organization
Contact information
Practice address
2929 FOUNTAIN VIEW DR, HOUSTON, TX 77057-6105
(713) 784-8235
(713) 974-0850
Mailing address
2929 FOUNTAIN VIEW DR, HOUSTON, TX 77057-6105
(713) 784-8235
(713) 974-0850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
TX10126
TX
122300000X
Dentist
TX27229
TX
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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