Organization
DENTAL SQUARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEJASH PATEL (OWNER)
(409) 227-0254
Entity
Organization
Contact information
Practice address
681 SOUTH MAIN ST., LUMBERTON, TX 77657
(409) 227-0254
Mailing address
681 SOUTH MAIN ST., LUMBERTON, TX 77657
(409) 568-4735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
01/07/2015
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