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Organization
TOMBALL FAMILY DENTAL
Active
Organization
TOMBALL FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDRA LEANN HIEMSTRA D.D.S. (P.C.)
(281) 389-2720
Entity
Organization
Contact information
Practice address
14060 FM 2920 RD, SUITE H, TOMBALL, TX 77377-5502
(281) 389-2720
Mailing address
14090 FM 2920 RD, SUITE H, TOMBALL, TX 77377-5549
(281) 516-1222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24722
TX
Other
Enumeration date
07/29/2011
Last updated
10/17/2011
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