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Organization

BRYAN PEDIATRIC DENTISTRY

Active
Other names
Bryan Pediatric Dentistry PC
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTINE DONNELLY DDS (OWNER, PEDIATRIC DENTIST)
(979) 703-2893
Entity
Organization

Contact information

Practice address
2510 S TEXAS AVE, BRYAN, TX 77802-2329
(317) 903-9276
Mailing address
1709 GLADE ST, COLLEGE STATION, TX 77840-4341
(317) 903-9276

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
07/26/2017
Last updated
06/12/2024
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