Organization
WOODFOREST FINE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GILLOGLY DDS (OWNER DENTIST)
(832) 729-6453
Entity
Organization
Contact information
Practice address
791 FISH CREEK THOROUGHFARE STE 40, MONTGOMERY, TX 77316
(832) 729-6453
Mailing address
113 CHECKERBLOOM CT, MONTGOMERY, TX 77316-1528
(832) 729-6453
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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