Organization
CISNEROS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA Q. CISNEROS (OWNER)
(713) 450-2900
Entity
Organization
Contact information
Practice address
1313 HOLLAND ST STE E, HOUSTON, TX 77029-2873
(713) 450-2900
(713) 453-2479
Mailing address
1313 HOLLAND ST STE E, HOUSTON, TX 77029-2873
(713) 450-2900
(713) 453-2479
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22148
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173700903
—
TX
Enumeration date
11/03/2009
Last updated
11/03/2009
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