Organization
BLUEBONNET PEDIATRIC DENTISTRY PLLC
Active
Other names
Bluebonnet Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN CHARLES AMES DDS (OWNER/DENTIST)
(801) 472-0837
Entity
Organization
Contact information
Practice address
2650 BECKER DRIVE, BRENHAM, TX 77833
(979) 451-6026
(979) 246-0960
Mailing address
2650 BECKER DRIVE, BRENHAM, TX 77833
(979) 451-6026
(979) 246-0960
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
08/26/2022
Last updated
08/08/2023
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