MEDICARE: DR. VICTORIA QUITENO CISNEROS DDS,MS

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	22148	TX
2	1223G0001X	General Practice Dentistry	22148	TX

General Provider Information

NPI Number	:	1962626853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA QUITENO CISNEROS DDS,MS

Provider Business Mailing Address
First Line	:	5626 E SAM HOUSTON PKWY N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-3249
Country	:	US
Telephone Number	:	281-452-7900
Fax Number	:	281-879-6405

Provider Business Practice Location Address
First Line	:	5626 E SAM HOUSTON PKWY N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-3249
Country	:	US
Telephone Number	:	281-452-7900
Fax Number	:	281-879-6405

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

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	03/19/2026

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