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Organization
ALDEN BRIDGE DENTAL, P.C.
Active
Organization
ALDEN BRIDGE DENTAL, P.C.
Active
Other names
Alden Bridge Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHAITRA SHANTHAGOWDA ARAKERE D.M.D. (PRESIDENT)
(281) 363-4345
Entity
Organization
Contact information
Practice address
8000 RESEARCH FOREST DR STE 350, THE WOODLANDS, TX 77382-1560
(770) 916-5031
Mailing address
1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407
(770) 916-5031
(678) 247-7966
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
12/17/2014
Last updated
12/06/2016
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