Organization
DENTAL CENTER AT FIRST COLONY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WANG (PRESIDENT)
(281) 980-5090
Entity
Organization
Contact information
Practice address
2225 WILLIAMS TRACE BLVD # S101, SUGAR LAND, TX 77478-4513
(281) 980-5090
Mailing address
2225 WILLIAMS TRACE BLVD # S101, SUGAR LAND, TX 77478-4513
(281) 980-5090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14590
TX
122300000X
Dentist
Primary
15601
TX
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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