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Organization
DENTAL GROUP, PC
Active
Organization
DENTAL GROUP, PC
Active
Other names
Affordable Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARILU ROBBINS (MANAGER)
(713) 439-1234
Entity
Organization
Contact information
Practice address
5934 BROADWAY, GALVESTON, TX 77551-4305
(409) 740-7744
(409) 744-4541
Mailing address
1841 POST OAK PARK DR, HOUSTON, TX 77027-3303
(713) 439-1234
(409) 744-4541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980153-01
—
TX
Enumeration date
10/31/2006
Last updated
02/10/2009
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