# CINCO RANCH ENDODONTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851563183
- **Authorized official:** DR. BRYAN BERTEAUX DMD (OWNER)
- **Authorized official phone:** (281) 371-3636

## Contact information

- **Practice address:** 23922 CINCO VILLAGE CENTER BLVD, SUITE 240, KATY, TX 77494-6619
- **Practice address phone:** (281) 371-3636
- **Practice address fax:** (281) 371-3640
- **Mailing address:** 23922 CINCO VILLAGE CENTER BLVD, SUITE 240, KATY, TX 77494-6619
- **Mailing address phone:** (281) 371-3636
- **Mailing address fax:** (281) 371-3640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 23109 | TX | Yes |

## Other

- **Enumeration date:** 03/26/2008
- **Last updated:** 09/06/2013