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Organization
BELLAIRE DENTAL SUITE PLLC
Active
Organization
BELLAIRE DENTAL SUITE PLLC
Active
Other names
Bellaire Dental Suite
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA RIVERS DDS (OWNER)
(817) 925-0458
Entity
Organization
Contact information
Practice address
6300 WEST LOOP S STE 250, BELLAIRE, TX 77401-2918
(346) 618-5441
(346) 204-4160
Mailing address
110 E VILLA MARIA RD STE A, BRYAN, TX 77801-3147
(979) 779-6146
(979) 779-6250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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