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2315 Southwest Fwy Suite #200 Houston TX 77098-4700 | |
| (713) 523-2328 | |
| (713) 528-5542 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2315 Southwest Fwy, Houston, Texas |
| Authorized Official Name and Position | Charles M Blum (OWNER) |
| Authorized Official Contact | 7135232328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2315 Southwest Fwy Suite #200 Houston TX 77098-4700 Ph: (713) 523-2328 | 2315 Southwest Fwy Suite #200 Houston TX 77098-4700 Ph: (713) 523-2328 |
| NPI Number | 1972727519 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972727519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6636 (Texas) | Primary |
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