Organization
CYNTHIA OVERHOLSER DDS
Active
Other names
Lake Jackson Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA ANNE OVERHOLSER DDS (DENTIST/OWNER)
(979) 297-6438
Entity
Organization
Contact information
Practice address
103 N DIXIE DR, LAKE JACKSON, TX 77566-5940
(979) 297-6438
(979) 297-4644
Mailing address
103 N DIXIE DR, LAKE JACKSON, TX 77566-5940
(979) 297-6438
(979) 297-4644
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19245
TX
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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