Organization
WEST BRAZOS DENTAL CENTER BRAZORIA
Active
Organization
WEST BRAZOS DENTAL CENTER BRAZORIA
Active
Other names
WEST BRAZOS DENTAL CENTER BRAZORIA
Organization subpart
No
Provider details
NPI number
Authorized official
KIM R YEAROUT (OFFICE MANAGER)
(979) 345-1023
Entity
Organization
Contact information
Practice address
324 N BROOKS ST, BRAZORIA, TX 77422-8718
(979) 248-4248
(979) 798-9109
Mailing address
PO BOX 5005, BRAZORIA, TX 77422-5005
(979) 798-9103
(979) 798-9109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
03/14/2022
Update your record
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