Provider Demographics
NPI:1184971632
Name:CHIARA COMBS DDS PA
Entity type:Organization
Organization Name:CHIARA COMBS DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIARA
Authorized Official - Middle Name:
Authorized Official - Last Name:COMBS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-453-9926
Mailing Address - Street 1:902 NORMANDY ST
Mailing Address - Street 2:#300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-4952
Mailing Address - Country:US
Mailing Address - Phone:713-453-9926
Mailing Address - Fax:713-453-9927
Practice Address - Street 1:902 NORMANDY ST
Practice Address - Street 2:#300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-4952
Practice Address - Country:US
Practice Address - Phone:713-453-9926
Practice Address - Fax:713-453-9927
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHIARA COMBS DDS PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21572122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty