| NPI | 1235415589 |
|---|---|
| Doing Business As | CLEAR LAKE MODERN DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MATTHEW HENEHAN Owner Doctor 281-990-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2013-12-31 |