# BEAR BRANCH FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275880924
- **Authorized official:** KELLY M LEBLANC DDS, PC (OWNER/ DENTIST)
- **Authorized official phone:** (281) 419-2327

## Contact information

- **Practice address:** 30420 FM 2978 RD, SUITE 350, THE WOODLANDS, TX 77354-6750
- **Practice address phone:** (281) 419-2327
- **Practice address fax:** (281) 257-1070
- **Mailing address:** 30420 FM 2978 RD, SUITE 350, THE WOODLANDS, TX 77354-6750
- **Mailing address phone:** (281) 419-2327
- **Mailing address fax:** (281) 257-1070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 16515 | TX | Yes |

## Other

- **Enumeration date:** 08/13/2012
- **Last updated:** 08/13/2012