Organization
ESGB, INC
Active
Other names
Woodforest Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY S HARRIS D.M.D. (OWNER)
(713) 703-0737
Entity
Organization
Contact information
Practice address
514 HONEA EGYPT RD, SUITE 200, MAGNOLIA, TX 77354-3399
(713) 703-0737
Mailing address
514 HONEA EGYPT RD, SUITE 200, MAGNOLIA, TX 77354-3399
(713) 703-0737
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24481
TX
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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