Organization
DENTAL HEALTH ASSOCIATES OF TX, PC
Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TX, PC
Other names
Wild Rose Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TX, PC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
2430 RAYFORD RD STE 102, SPRING, TX 77386-1936
(346) 298-6445
Mailing address
2430 RAYFORD RD STE 102, SPRING, TX 77386-1936
(346) 298-6445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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