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Organization

ALDEN BRIDGE PEDIATRIC DENTISTRY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASSANDRA WIETH (DIRECTOR OF PAYER RELATIONS)
(623) 267-8121
Entity
Organization

Contact information

Practice address
3759 FM 1488 RD STE 125, THE WOODLANDS, TX 77384-4177
(832) 521-9024
Mailing address
3759 FM 1488 RD STE 125, THE WOODLANDS, TX 77384-4177

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Enumeration date
06/26/2026
Last updated
06/26/2026
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