Organization
DESIGN DENTAL GROUP II PLLC
Active
Parent organization
DESIGN DENTAL GROUP PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESIGN DENTAL GROUP PLLC
Authorized official
DR. MELANIE T BIBB DDS (OWNER/ DENTIST)
(713) 365-0334
Entity
Organization
Contact information
Practice address
9738 KATY FREEWAY, SUITE 400, HOUSTON, TX 77055
(713) 365-0334
(713) 973-2251
Mailing address
4500 WASHINGTON AVE, SUITE 700, HOUSTON, TX 77007
(713) 869-0334
(713) 869-0339
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22708
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180590512
—
TX
Enumeration date
10/18/2012
Last updated
10/18/2012
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