MEDICARE: THE DENTAL DESING STUDIOS

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
1	1223G0001X	General Practice Dentistry	17143	TX

General Provider Information

NPI Number	:	1629374673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE DENTAL DESING STUDIOS

Provider Business Mailing Address
First Line	:	10497 TOWN AND COUNTRY WAY
Second Line	:	SUITE 914
City	:	HOUSTON
State	:	TX
Zip	:	77024-1117
Country	:	US
Telephone Number	:	713-468-5800
Fax Number	:	713-468-2881

Provider Business Practice Location Address
First Line	:	9809 ROWLETT RD
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77075-3403
Country	:	US
Telephone Number	:	832-426-4076
Fax Number	:	832-623-6553

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	IVIS ARGUELLES HERNANDEZ
Credential	:	DDS
Telephone Number	:	713-468-5800

Provider Enumeration Date	:	02/08/2011
Last Update Date	:	05/23/2011

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Directions to “THE DENTAL DESING STUDIOS ” Practice Location

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