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Organization

MONT BELVIEU FAMILY DENTISTRY PLLC

Active
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Organization

MONT BELVIEU FAMILY DENTISTRY PLLC

Active
Other names
Mont Belvieu Dental and Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization

Contact information

Practice address
9205 EAGLE DR., STE 100, MONT BELVIEU, TX 77580
(832) 479-0062
(832) 479-0064
Mailing address
9205 EAGLE DR, STE 100, MONT BELVIEU, TX 77580
(972) 869-3789
(972) 590-8809

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
08/30/2019
Last updated
08/30/2019
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