Organization
SEALY KID'S DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY B ZBORIL DDS (PRESIDENT)
(979) 885-4856
Entity
Organization
Contact information
Practice address
2355 HIGHWAY 36 S, SEALY, TX 77474-4224
(979) 987-6030
(979) 476-2035
Mailing address
2355 HIGHWAY 36 S, SEALY, TX 77474-4224
(979) 987-6030
(979) 476-2035
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30728
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350561201
—
TX
Enumeration date
10/11/2017
Last updated
10/11/2017
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