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Organization

JOHN H. CASE D.D.S., M.S., P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN CASE D.D.S., M.S. (OWNER)
(979) 776-8100
Entity
Organization

Contact information

Practice address
1326 MEMORIAL DR, BRYAN, TX 77802-5215
(979) 776-8100
(979) 776-8123
Mailing address
1326 MEMORIAL DR, BRYAN, TX 77802-5215
(979) 776-8100
(979) 776-8123

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12102
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12102
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
090878201
TX
Enumeration date
10/29/2013
Last updated
10/29/2013
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