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Organization
MABRY AND CONIGLIO DENTISTRY
Active
Organization
MABRY AND CONIGLIO DENTISTRY
Active
Other names
Michael Mabry DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA BRITTON (TREATMENT COORDINATOR)
(817) 329-6677
Entity
Organization
Contact information
Practice address
271 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6272
(817) 329-6677
(817) 488-4995
Mailing address
271 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6272
(817) 329-6677
(817) 488-4995
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10892
TX
261QD0000X
Dental Clinic/Center
24577
TX
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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