Organization
ACADEMY GROUP DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER BRYANT DDS (PRESIDENT)
(281) 999-6500
Entity
Organization
Contact information
Practice address
11218 AIRLINE DR, HOUSTON, TX 77037-1116
(281) 999-6500
(281) 999-6504
Mailing address
11218 AIRLINE DR, HOUSTON, TX 77037-1116
(281) 999-6500
(281) 999-6504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22518
TX
1223G0001X
General Practice Dentistry
22518
TX
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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