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Organization
IMMA DENTAL INC
Active
Organization
IMMA DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRI VEKUH DMD (DENTIST)
(936) 324-1094
Entity
Organization
Contact information
Practice address
13843 HIGHWAY 105 W STE 106, CONROE, TX 77304-5704
(936) 324-1094
Mailing address
469 FM 1488 RD STE 103, CONROE, TX 77384-4189
(832) 299-0884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
03/06/2025
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