Organization
COLUMBIA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED HUVAR DDS (OWNER)
(979) 345-3621
Entity
Organization
Contact information
Practice address
907 S COLUMBIA DR, WEST COLUMBIA, TX 77486-3637
(979) 345-3621
(979) 345-3723
Mailing address
907 S COLUMBIA DR, WEST COLUMBIA, TX 77486-3637
(979) 345-3621
(979) 345-3723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20183
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209707301
—
TX
05
—
311761602
—
TX
Enumeration date
11/09/2016
Last updated
11/09/2016
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