# 1488 DENTAL CLINICS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 1488 Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649645268
- **Authorized official:** DR. MBACHAN OKWEN DDS MBA (OWNER)
- **Authorized official phone:** (936) 242-1490

## Contact information

- **Practice address:** 469 FM 1488 RD, STE 103, CONROE, TX 77384-4188
- **Practice address phone:** (936) 242-1490
- **Practice address fax:** (936) 242-1388
- **Mailing address:** 469 FM 1488 RD, STE 103, CONROE, TX 77384-4188
- **Mailing address phone:** (936) 242-1490
- **Mailing address fax:** (936) 242-1388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 25198 | TX | Yes |

## Other

- **Enumeration date:** 12/08/2015
- **Last updated:** 12/08/2015