Organization
KINGSLAND DENTAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIDGET HOLMES TISSUE D.D.S. (OWNER)
(281) 646-8888
Entity
Organization
Contact information
Practice address
21681 KINGSLAND BLVD, KATY, TX 77450-2512
(281) 646-8888
(281) 646-8885
Mailing address
21681 KINGSLAND BLVD, KATY, TX 77450-2512
(281) 646-8888
(281) 646-8885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14823
TX
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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