| Charles E Boren DDS PC | |
|
5200 Cedar St Bellaire TX 77401-3915 | |
| (713) 655-7673 | |
| (713) 655-7645 |
| Full Name | Charles E Boren DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5200 Cedar St, Bellaire, Texas |
| Authorized Official Name and Position | Charles E Boren (OWNER) |
| Authorized Official Contact | 7136557673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E Boren DDS PC 5200 Cedar St Bellaire TX 77401-3915 Ph: (713) 655-7673 | Charles E Boren DDS PC 5200 Cedar St Bellaire TX 77401-3915 Ph: (713) 655-7673 |
| NPI Number | 1003639048 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003639048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | () | Secondary |
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