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Organization
1488 DENTAL CLINICS INC
Active
Organization
1488 DENTAL CLINICS INC
Active
Other names
1488 Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MBACHAN OKWEN DDS MBA (OWNER)
(936) 242-1490
Entity
Organization
Contact information
Practice address
469 FM 1488 RD, STE 103, CONROE, TX 77384-4188
(936) 242-1490
(936) 242-1388
Mailing address
469 FM 1488 RD, STE 103, CONROE, TX 77384-4188
(936) 242-1490
(936) 242-1388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25198
TX
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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