Organization · Type 2 NPI
Conroe Advanced Dentistry, PLLC
Dental Clinic/Center · Conroe, TX
NPI number
1104495209
Active
Practice location
2040 N Loop 336 W Ste 207
Conroe, TX 77304-3580
Mailing address
6818 Fawncliff Dr
Houston, TX 77069-3107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1104495209
Conroe Advanced Dentistry, PLLC's National Provider Identifier is 1104495209, issued on Jun 22, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Conroe, TX. The record was last updated on Jun 22, 2021.