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Organization

WEST LAKE COLONNADE DENTAL, PLLC

Active
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Organization

WEST LAKE COLONNADE DENTAL, PLLC

Active
Other names
West Lake Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRANDY MICHELLE BURNETT D.D.S. (GENERAL COUNSEL)
(281) 812-3333
Entity
Organization

Contact information

Practice address
18477 W LAKE HOUSTON PKWY, SUITE 80, HUMBLE, TX 77346-3517
(281) 812-3333
(281) 812-3332
Mailing address
18477 W LAKE HOUSTON PKWY, SUITE 80, HUMBLE, TX 77346-3517
(281) 812-3333
(281) 812-3332

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21713
TX

Other

Enumeration date
10/11/2006
Last updated
08/22/2020
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