Organization
CINCO RANCH ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN BERTEAUX DMD (OWNER)
(281) 371-3636
Entity
Organization
Contact information
Practice address
23922 CINCO VILLAGE CENTER BLVD, SUITE 240, KATY, TX 77494-6619
(281) 371-3636
(281) 371-3640
Mailing address
23922 CINCO VILLAGE CENTER BLVD, SUITE 240, KATY, TX 77494-6619
(281) 371-3636
(281) 371-3640
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
23109
TX
Other
Enumeration date
03/26/2008
Last updated
09/06/2013
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