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Organization

DENTAL HEALTH ASSOCIATES OF TEXAS, PC

Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
Pecan Grove Family Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
KIM WILSON (CRED SUPERVISOR)
(217) 540-5170
Entity
Organization

Contact information

Practice address
1103 FM 359 RD, RICHMOND, TX 77406-2013
(281) 342-7050
(281) 342-0015
Mailing address
1103 FM 359 RD, RICHMOND, TX 77406-2013
(281) 342-7050
(281) 342-0015

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
01/28/2015
Last updated
01/28/2015
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