Organization
MONTGOMERY COMPREHENSIVE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RACHEL D STARK (FINANCIAL COORDINATOR)
(936) 539-3636
Entity
Organization
Contact information
Practice address
2210 N FRAZIER ST, SUITE #120, CONROE, TX 77303-1780
(936) 539-3636
(936) 539-3639
Mailing address
0951 LONESTAR PARKWAY, MONTGOMERY, TX 77356-0951
(936) 230-5445
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
16499
TX
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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