Organization
WESTVIEW DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE JACKSON DDS (OWNER)
(281) 332-8400
Entity
Organization
Contact information
Practice address
1507 W LEAGUE CITY PKWY STE 100, LEAGUE CITY, TX 77573-7340
(281) 332-8400
(281) 476-6429
Mailing address
1507 W LEAGUE CITY PKWY STE 100, LEAGUE CITY, TX 77573-7340
(281) 332-8400
(281) 476-6429
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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