Organization
MISSION BEND FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MILLER (OFFICE MANAGER)
(832) 500-4940
Entity
Organization
Contact information
Practice address
7039 FM 1464 RD STE 130, RICHMOND, TX 77407-2001
(832) 500-4940
(832) 532-7392
Mailing address
7039 FM 1464 RD STE 130, RICHMOND, TX 77407-2001
(832) 500-4940
(832) 532-7392
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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