SHAWN M. RODGERS, DDS, PLLC
Dentist at Uptown Park Blvd, Houston, TX

License number
Texas 24061
Category
Dentist
Type
Dentist
Owner
Name: DOMINIQUE D RODGERS
Title: PRACTICE ADMINSTRATOR
Phone: (713) 621-4830
Address
Address
1121 Uptown Park Blvd STE 19, Houston, TX 77056
National Provider ID: 1356730428
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHAWN M. RODGERS, D.D.S., P.L.L.C

Houston, TX

Industry:
Dentist's Office, Offices and Clinics of Dentists
Registration:
Jan 25, 2012
Addresses:
1121 Uptown Park Blvd STE 19, Houston, TX 77056 (Mailing)
3002 Norhill Blvd, Houston, TX 77009
State ID:
0801541145
Business type:
Domestic Limited Liability Company (LLC)
President, Member:
Shawn M Rodgers (President, Member), 3002 Norhill Blvd, Houston, TX 77009
TIN:
32046712108

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