Organization
WOODLANDS ENDODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL BRADLEY MIZE D.D.S. (PRESIDENT)
(281) 681-0100
Entity
Organization
Contact information
Practice address
9001 FOREST XING, SUITE G, THE WOODLANDS, TX 77381-1180
(281) 681-0100
Mailing address
9001 FOREST XING, SUITE G, THE WOODLANDS, TX 77381-1180
(281) 681-0100
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
17657
TX
1223E0200X
Endodontics
19217
TX
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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