Provider First Line Business Practice Location Address:
7500 CAMBRIDGE STREET, DEPARTMENT OF GENERAL PRACTICE
Provider Second Line Business Practice Location Address:
UNIVERSITY OF TEXAS SCHOOL OF DENTISTRY
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-486-4281
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/09/2017