Organization
CONROE FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN WOOD DDS (MEMBER)
(936) 539-2211
Entity
Organization
Contact information
Practice address
1362 WILSON RD, CONROE, TX 77304-2146
(936) 539-2211
(936) 539-2216
Mailing address
1362 WILSON RD, CONROE, TX 77304-2146
(936) 539-2211
(936) 539-2216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23937
TX
Other
Enumeration date
02/17/2014
Last updated
10/27/2021
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