Provider First Line Business Practice Location Address:
7500 CAMBRIDGE STREET, SUITE 5361
Provider Second Line Business Practice Location Address:
UTHSCH SCHOOL OF DENTISTRY, DIAGNOSTIC & BIOMEDICAL SCI
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:
713-486-4316
Provider Business Practice Location Address Fax Number:
713-486-4416
Provider Enumeration Date:
06/25/2014