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4605 Wilmington St Houston TX 77051-3333 | |
| (832) 395-0206 | |
| (832) 393-5253 |
| Full Name | |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 4605 Wilmington St, Houston, Texas |
| Authorized Official Name and Position | Stephen Lawrence Williams (DIRECTOR) |
| Authorized Official Contact | 8323935169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8000 N Stadium 7th Floor Houston TX 77054 Ph: (832) 393-4288 | 4605 Wilmington St Houston TX 77051-3333 Ph: (832) 395-0206 |
| NPI Number | 1164925236 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 04/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164925236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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