| Bayou City Smiles | |
|
4000 Washington Avenue Suite 201 Houston TX 77007 | |
| (713) 518-1411 | |
| (713) 802-9495 |
| Full Name | Bayou City Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4000 Washington Avenue, Houston, Texas |
| Authorized Official Name and Position | Raymund Marcus Deguzman (DENTIST) |
| Authorized Official Contact | 7135181411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayou City Smiles 4000 Washington Avenue Suite 201 Houston TX 77007 Ph: (713) 518-1411 | Bayou City Smiles 4000 Washington Avenue Suite 201 Houston TX 77007 Ph: (713) 518-1411 |
| NPI Number | 1538394994 |
|---|---|
| Provider Enumeration Date | 05/28/2009 |
| Last Update Date | 05/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538394994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20348 (Texas) | Primary |
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