Organization · Type 2 NPI
Custom Dental of the Colony, PLLC
Dental Clinic/Center · The Colony, TX
NPI number
1568123719
Active
Practice location
4695 N Colony Blvd Ste 104
The Colony, TX 75056-3330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in The Colony
About NPI 1568123719
Custom Dental of the Colony, PLLC's National Provider Identifier is 1568123719, issued on Jan 9, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in The Colony, TX. The record was last updated on Jan 9, 2022.