Organization
COLUMBIA DENTAL AND ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (VP OF FINANCE)
(972) 869-3789
Entity
Organization
Contact information
Practice address
505 DANCE DR, WEST COLUMBIA, TX 77486-4019
(979) 345-5135
Mailing address
2403 LACY LN, CARROLLTON, TX 75006-6514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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