NPI 1104092352 · live from the CMS NPI Registry
21st Century Dentistry
Dentist, General Practice in Houston, TX. National Provider Identifier 1104092352, active.
NPI record
| NPI | 1104092352 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 9630 Clarewood Dr Ste A4, Houston, TX 77036 |
| Practice phone | 713-774-1136 |
| Mailing address | 9630 Clarewood Dr Ste A 4, Houston, TX 77036 |
| Enumerated | May 7, 2008 |
| Last updated | May 7, 2008 |
| Authorized official | Wender Jiang, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 14074 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.