Organization
WAVE CREST DENTISTRY
Active
Other names
Lakeside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY WEIBEL DDS (MANAGER)
(979) 236-6503
Entity
Organization
Contact information
Practice address
3120 NASA PKWY, SEABROOK, TX 77586-6465
(281) 326-7117
Mailing address
3120 NASA PKWY, SEABROOK, TX 77586-6465
(281) 326-7117
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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