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Organization
SAINT APOLONIA MEDICAID DENTAL CLINIC NO 2 OF TEXAS PA
Active
Organization
SAINT APOLONIA MEDICAID DENTAL CLINIC NO 2 OF TEXAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS W ANDERSON D D S (DENTIST/OWNER)
(979) 733-8844
Entity
Organization
Contact information
Practice address
106 SHULT DR, SUITE A/B, COLUMBUS, TX 78934-3016
(979) 733-8844
(979) 733-8848
Mailing address
106 SHULT DR, SUITE A/B, COLUMBUS, TX 78934-3016
(979) 733-8844
(979) 733-8848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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