Organization
CONROE DENTAL PC
Active
Other names
CONROE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH OSAMOR DDS (DIRECTOR)
(936) 760-3050
Entity
Organization
Contact information
Practice address
1002 N LOOP 336 W, CONROE, TX 77301-1154
(936) 760-3050
(936) 441-3068
Mailing address
1002 N LOOP 336 W, CONROE, TX 77301-1154
(936) 760-3050
(936) 441-3068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21886
TX
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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