Organization · Type 2 NPI
Everest Dental Conroe Corporation
Dental Clinic/Center · Conroe, TX
NPI number
1619496882
Active
Practice location
2104 N Frazier St Ste D
Conroe, TX 77301-1250
Fax (936) 727-2786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 22638 (TX) |
Dental Clinic/Center: Definition to come...
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About NPI 1619496882
Everest Dental Conroe Corporation's National Provider Identifier is 1619496882, issued on Sep 19, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Conroe, TX. The record was last updated on Sep 19, 2017.