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NPI Code Detail

MEDICARE: MARK E. CARANTO D.D.S.,P.A

MEDICARE: MARK E. CARANTO D.D.S.,P.A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry18743TX

General Provider Information

NPI Number : 1790823623
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARK E. CARANTO D.D.S.,P.A
Provider Business Mailing Address
First Line : 9567 S GESSNER DR
Second Line :
City : HOUSTON
State : TX
Zip : 77074-3813
Country : US
Telephone Number : 713-981-0025
Fax Number : 713-981-1660
Provider Business Practice Location Address
First Line : 9567 S GESSNER DR
Second Line :
City : HOUSTON
State : TX
Zip : 77074-3813
Country : US
Telephone Number : 713-981-0025
Fax Number : 713-981-1660
Authorized Official
Title or Position : MANAGER
Name : MAI ARCEO
Credential :
Telephone Number : 713-981-0025
Provider Enumeration Date : 02/02/2007
Last Update Date : 07/25/2007

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