Organization
BEAR BRANCH FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY M LEBLANC DDS, PC (OWNER/ DENTIST)
(281) 419-2327
Entity
Organization
Contact information
Practice address
30420 FM 2978 RD, SUITE 350, THE WOODLANDS, TX 77354-6750
(281) 419-2327
(281) 257-1070
Mailing address
30420 FM 2978 RD, SUITE 350, THE WOODLANDS, TX 77354-6750
(281) 419-2327
(281) 257-1070
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16515
TX
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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