Organization
1488 DENTAL CLINICS INC
Active
Other names
1488 Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MBACHAN OKWEN DDS MBA (OWNER)
(936) 242-1490
Entity
Organization
Contact information
Practice address
469 FM 1488 RD, STE 103, CONROE, TX 77384-4188
(936) 242-1490
(936) 242-1388
Mailing address
469 FM 1488 RD, STE 103, CONROE, TX 77384-4188
(936) 242-1490
(936) 242-1388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25198
TX
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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