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Organization
KOURY & MITSCHKE DENTISTRY PARTNERSHIP
Active
Organization
KOURY & MITSCHKE DENTISTRY PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP C KOURY DDS (GENERAL PARTNER)
(979) 297-2491
Entity
Organization
Contact information
Practice address
201 OAK DR S, SUITE 206, LAKE JACKSON, TX 77566-5676
(979) 297-2491
(979) 297-3468
Mailing address
201 OAK DR S, SUITE 206, LAKE JACKSON, TX 77566-5676
(979) 297-2491
(979) 297-3468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19079 & 21826
TX
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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