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1000 Bay Area Boulevard Suite A Houston TX 77058 | |
| (281) 990-9400 | |
| (281) 990-9200 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1000 Bay Area Boulevard Suite A, Houston, Texas |
| Authorized Official Name and Position | Matthew Henehan (OWNER DOCTOR) |
| Authorized Official Contact | 2819909400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 1000 Bay Area Boulevard Suite A Houston TX 77058 Ph: (281) 990-9400 |
| NPI Number | 1235415589 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 12/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235415589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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