Organization
BRAZOS VALLEY SMILE RESTORATIONS
Active
Other names
Smile Restorations
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN JOUETT D.D.S. (PRESIDENT)
(979) 846-1121
Entity
Organization
Contact information
Practice address
1615 BARAK LN, STE 5, BRYAN, TX 77802-3315
(979) 846-1121
(979) 846-5771
Mailing address
1615 BARAK LN, STE 5, BRYAN, TX 77802-3315
(979) 846-1121
(979) 846-5771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D22623
TX
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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