Charles E Boren DDS PC
Dentist, General Practice in Bellaire, TX. Organization (NPI-2).
NPI number1003639048
StatusActive
Last updated in NPPESNov 7, 2024
Details
- NPI
- 1003639048
- Entity type
- Organization (NPI-2)
- Legal business name
- Charles E Boren DDS PC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2024
- Certification date
- Nov 7, 2024
- Last updated
- Nov 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – |
Practice location
5200 Cedar StBellaire, TX 77401-3915
Phone 713-655-7673 · Fax 713-655-7645
Mailing address
5200 Cedar StBellaire, TX 77401-3915
Phone 713-655-7673 · Fax 713-655-7645
Authorized official
Charles E Boren
Owner
7136557673
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