Individual
KYLIE BARROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
500 MEDICAL CENTER BLVD STE 110, CONROE, TX 77304-2800
(936) 760-2200
Mailing address
7413 TEASWOOD DR, CONROE, TX 77304-1402
(936) 520-8340
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38830
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2022
Last updated
05/15/2023
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