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Organization · Orthodontics and Dentofacial Orthopedics Dentistry · Humble, TX

NPI
1275966780
Type
Organization (Type 2)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223X0400X
License number
23564 (TX)
Enumerated
2013-08-20
Last updated
2013-08-20
Practice location
9025 N Sam Houston Pkwy E, 160
Humble, TX 77396-4399
(281) 359-5551

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