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5616 Lawndale St A-201 Houston TX 77023-3840 | |
| (713) 923-7000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5616 Lawndale St, Houston, Texas |
| Authorized Official Name and Position | Corina Diaz-bajsel (OWNER) |
| Authorized Official Contact | 7139268899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5616 Lawndale Blvd A-201 Houston TX 77023 Ph: (713) 923-7000 | 5616 Lawndale St A-201 Houston TX 77023-3840 Ph: (713) 923-7000 |
| NPI Number | 1871764035 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871764035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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