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Organization
FWB DENTAL, P.L.L.C.
Active
Organization
FWB DENTAL, P.L.L.C.
Active
Other names
Baybrook Mall Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADA MATYTSIN D.D.S. (OWNER/DENTIST)
(281) 461-6515
Entity
Organization
Contact information
Practice address
1012 BAYBROOK MALL, FRIENDSWOOD, TX 77546-2744
(281) 461-6515
(281) 461-6687
Mailing address
1012 BAYBROOK MALL, FRIENDSWOOD, TX 77546-2744
(281) 461-6515
(281) 461-6687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30466
TX
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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