Provider Demographics
NPI:1144437872
Name:FEBRES DENTISTRY FOR CHILDREN
Entity type:Organization
Organization Name:FEBRES DENTISTRY FOR CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CAROLINA
Authorized Official - Last Name:FEBRES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-597-0404
Mailing Address - Street 1:2000 S DAIRY ASHFORD ST
Mailing Address - Street 2:SUITE 530
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5700
Mailing Address - Country:US
Mailing Address - Phone:281-597-0404
Mailing Address - Fax:281-597-0430
Practice Address - Street 1:2000 S DAIRY ASHFORD ST
Practice Address - Street 2:SUITE 530
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5700
Practice Address - Country:US
Practice Address - Phone:281-597-0404
Practice Address - Fax:281-597-0430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX206611223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty