MEDICARE: DR. JENNIFER N NARANJO D.D.S., M.S.D.

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	122300000X	Dentist	27596	TX
2	1223P0700X	Prosthodontics	27596	TX

General Provider Information

NPI Number	:	1831469543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER N NARANJO D.D.S., M.S.D.

Provider Business Mailing Address
First Line	:	3023 RED OAK LEAF TRL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-4218
Country	:	US
Telephone Number	:	713-253-6691
Fax Number	:

Provider Business Practice Location Address
First Line	:	3023 RED OAK LEAF TRL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-4218
Country	:	US
Telephone Number	:	713-253-6691
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2012
Last Update Date	:	01/11/2012

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