Organization
BELLAIRE DENTAL SUITE PLLC
Active
Other names
Bellaire Dental Suite
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA RIVERS DDS (OWNER)
(817) 925-0458
Entity
Organization
Contact information
Practice address
6300 WEST LOOP S STE 250, BELLAIRE, TX 77401-2918
(346) 618-5441
(346) 204-4160
Mailing address
110 E VILLA MARIA RD STE A, BRYAN, TX 77801-3147
(979) 779-6146
(979) 779-6250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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