Organization · Type 2 NPI
Custom Dental of Bonham PLLC
Dental Clinic/Center · Bonham, TX
NPI number
1437795093
Active
Practice location
2016 State Highway 121 N
Bonham, TX 75418
Mailing address
2016 N State Highway 121
Bonham, TX 75418-2339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1437795093
Custom Dental of Bonham PLLC's National Provider Identifier is 1437795093, issued on Nov 19, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Bonham, TX. The record was last updated on Sep 8, 2021.