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Organization

DENTISTRY FOR CHILDREN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GRETCHEN M JETTON (DENTIST)
(281) 232-7556
Entity
Organization

Contact information

Practice address
17320 W GRAND PKWY S, SUITE D., SUGAR LAND, TX 77479-2666
(281) 232-7556
(281) 232-7975
Mailing address
17320 W GRAND PKWY S, SUITE D., SUGAR LAND, TX 77479-2666
(281) 232-7556
(281) 232-7975

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
21035
TX

Other

Enumeration date
11/25/2008
Last updated
11/25/2008
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