Organization · Type 2 NPI
Periogoldental P.a
Dental Clinic/Center · Lake Jackson, TX
NPI number
1659507002
Active
Practice location
115 N Dixie Dr Ste 300
Lake Jackson, TX 77566-5958
Fax (979) 480-0411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 20347 (TX) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Lake Jackson
- Cynthia Overholser DDSDental Clinic/Center Lake Jackson, TX NPI 1134450034
- Lake Jackson Family Dentistry PLLCDental Clinic/Center Lake Jackson, TX NPI 1386351062
- All SmilesDental Clinic/Center Lake Jackson, TX NPI 1770829707
- Ramitra Dental Implants & Periodontics PLLCDental Clinic/Center Lake Jackson, TX NPI 1811884596
About NPI 1659507002
Periogoldental P.a's National Provider Identifier is 1659507002, issued on May 29, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lake Jackson, TX. The record was last updated on May 29, 2009.