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Organization
PWD DENTISTRY MANAGEMENT LLC
Active
Organization
PWD DENTISTRY MANAGEMENT LLC
Active
Parent organization
PWD DENTISTRY MANAGEMENT LLC
Other names
Piney Woods Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
PWD DENTISTRY MANAGEMENT LLC
Authorized official
MRS. ANDREA LYNN VIGNOS RDA (OFFICE MANAGER)
(713) 876-4560
Entity
Organization
Contact information
Practice address
2804 LAKE RD STE 5, HUNTSVILLE, TX 77340-5626
(936) 439-5227
Mailing address
2804 LAKE RD STE 5, HUNTSVILLE, TX 77340-5626
(713) 876-4560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25864
TX
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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