Organization · NPI-2

21st Century Dentistry

Dentist, General Practice · Houston, TX

NPI number1104092352
StatusActive
Last updated in NPPESMay 7, 2008

Details

NPI
1104092352
Entity type
Organization (NPI-2)
Legal business name
21st Century Dentistry
Organization subpart
No
Enumeration date
May 7, 2008
Last updated
May 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice14074TXYes

Practice location

9630 Clarewood Dr Ste A4
Houston, TX 77036-3535

Phone 713-774-1136 · Fax 713-774-1544

Mailing address

9630 Clarewood Dr Ste A 4
Houston, TX 77036

Phone 713-774-1136 · Fax 713-774-1544

Authorized official

Wender Jiang
President
7137741136

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