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Organization

ELITE ORAL SURGERY CONROE PLLC

Active
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Organization

ELITE ORAL SURGERY CONROE PLLC

Active
Other names
Elite Oral & Facial Surgery Conroe
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JACKIE CARRANZA (GENERAL MANAGER/HR)
(281) 256-8400
Entity
Organization

Contact information

Practice address
15260 TX 105 W, SUITE 154, MONTGOMERY, TX 77356
(832) 416-1341
(832) 529-1461
Mailing address
15260 TX 105 W, SUITE 154, MONTGOMERY, TX 77356
(832) 416-1341
(832) 529-1461

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
06/29/2023
Last updated
06/29/2023
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