Organization
NEDERLAND FAMILY DENTAL
Active
Other names
Coastal Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JENNINGS DDS (OWNER)
(972) 248-1221
Entity
Organization
Contact information
Practice address
1803 N 18TH ST, NEDERLAND, TX 77627-4856
(409) 727-3511
Mailing address
2109 COMMERCE ST # 200, DALLAS, TX 75201-4305
(972) 248-1221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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