MADISON DENTAL, DDS, PC
Dentist at Fm 1960 Rd, Houston, TX

License number
Texas 25589
Category
Dentist
Type
Pediatric Dentistry
Owner
Name: DR. CARLOS RODQUAE BOSTON DDS
Title: OWNER
Phone: (202) 491-5781
Address
Address
566 Fm 1960 Rd W STE 400, Houston, TX 77090
National Provider ID: 1871838029
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MADISON DENTAL DDS PC

566 Cypress Crk Pkwy STE F, Houston, TX 77090

Doing business as:
Madison Dental
Registration:
Nov 7, 2012
Phone:
(281) 397-0311 (Phone)
State ID:
0801680551
PRESIDENT:
Carlos Boston (PRESIDENT), 566 Fm 1960 W STE 400, Houston, TX 77090
Agent:
Mike C Manoloff,6600 Sands Pt Dr STE 100, Houston, TX 77074 (Physical)
TIN:
32049431813
Categories:
Dentists

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