| Fountain View Dental | |
|
2929 Fountain View Dr Houston TX 77057-6105 | |
| (713) 784-8235 | |
| (713) 974-0850 |
| Full Name | Fountain View Dental |
|---|---|
| Speciality | Dentist |
| Location | 2929 Fountain View Dr, Houston, Texas |
| Authorized Official Name and Position | Nishano Thomas (OWNER) |
| Authorized Official Contact | 7137848235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain View Dental 2929 Fountain View Dr Houston TX 77057-6105 Ph: (713) 784-8235 | Fountain View Dental 2929 Fountain View Dr Houston TX 77057-6105 Ph: (713) 784-8235 |
| NPI Number | 1972045722 |
|---|---|
| Provider Enumeration Date | 11/10/2016 |
| Last Update Date | 11/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972045722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | TX10126 (Texas) | Primary |
| 122300000X | Dentist | TX27229 (Texas) | Secondary |
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