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Organization
WEST BRAZOS ORTHODONTICS AND DENTAL PLLC
Active
Organization
WEST BRAZOS ORTHODONTICS AND DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (VP OF FINANCE)
(972) 869-3789
Entity
Organization
Contact information
Practice address
503 DANCE DR, WEST COLUMBIA, TX 77486-4019
(979) 345-1023
Mailing address
2403 LACY LN, CARROLLTON, TX 75006-6514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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