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Organization
MISSION BEND FAMILY DENTISTRY
Active
Organization
MISSION BEND FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY PUCKETT DDS (OWNER)
(832) 500-4940
Entity
Organization
Contact information
Practice address
7039 FM 1464 RD, SUITE 130, RICHMOND, TX 77407-2000
(832) 500-4940
(832) 532-7392
Mailing address
7039 FM 1464 RD, SUITE 130, RICHMOND, TX 77407-2000
(832) 500-4940
(832) 532-7392
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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