Organization
EVEREST DENTAL CONROE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOC BUI DDS (PRESIDENT)
(832) 881-6868
Entity
Organization
Contact information
Practice address
2104 N FRAZIER ST STE D, CONROE, TX 77301-1250
(936) 756-5080
(936) 727-2786
Mailing address
2104 N FRAZIER ST STE D, CONROE, TX 77301-1250
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22638
TX
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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