Organization
FM 362 FAMILY DENTAL PLLC
Active
Other names
FM 362 Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA CAMACHO (MANAGER)
(346) 633-6825
Entity
Organization
Contact information
Practice address
19530 FM 362 RD, WALLER, TX 77484-5065
(346) 633-6825
(346) 857-0166
Mailing address
19530 FM 362 RD, WALLER, TX 77484-5065
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
04/23/2024
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