Organization
ADVANCED DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON MARK MESSER D.D.S. (DENTIST)
(409) 735-8146
Entity
Organization
Contact information
Practice address
1860 TEXAS AVE, BRIDGE CITY, TX 77611-2808
(409) 735-8146
(409) 735-2167
Mailing address
1860 TEXAS AVE, BRIDGE CITY, TX 77611-2808
(409) 735-8146
(409) 735-2167
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10890
TX
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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