Organization
CHI FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHI AGNES MBA DDS (OWNER)
(713) 213-2658
Entity
Organization
Contact information
Practice address
8731 HWY 6, STE 300, MISSOURI CITY, TX 77459
(713) 213-2658
(866) 892-0774
Mailing address
8731 HWY 6, STE 300, MISSOURI CITY, TX 77459
(713) 213-2658
(866) 892-0774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30951
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760864797
NPI TYPE 1
TX
Enumeration date
07/15/2016
Last updated
07/15/2016
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