Organization
DESIGN DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE BIBB D.D.S. (OWNER/DENTIST)
(713) 869-0334
Entity
Organization
Contact information
Practice address
4500 WASHINGTON AVE, SUITE 700, HOUSTON, TX 77007-5476
(713) 869-0334
(713) 869-0339
Mailing address
4500 WASHINGTON AVE, SUITE 700, HOUSTON, TX 77007-5476
(713) 869-0334
(713) 869-0339
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22708
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180590512
—
TX
Enumeration date
04/30/2012
Last updated
04/30/2012
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