| Westwood Dental Group | |
|
14039 Westheimer Rd Houston TX 77077-5360 | |
| (281) 558-3384 | |
| (713) 722-8441 |
| Full Name | Westwood Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 14039 Westheimer Rd, Houston, Texas |
| Authorized Official Name and Position | Edward W Russey (OWNER) |
| Authorized Official Contact | 7137228400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westwood Dental Group 1458 Campbell Rd Ste 200 Houston TX 77055-4669 Ph: (713) 722-8400 | Westwood Dental Group 14039 Westheimer Rd Houston TX 77077-5360 Ph: (281) 558-3384 |
| NPI Number | 1235374786 |
|---|---|
| Provider Enumeration Date | 12/12/2008 |
| Last Update Date | 12/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235374786 | NPI | - | NPPES |
| 009830301 | Medicaid | TX | |
| G60189-04 | Other | CA | STATE GOVERNMENT PROGRAM TEXAS CHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5820 (Texas) | Primary |
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