College Station Modern Dentistry Pc

NPI 1124420781 - Dentist - 122300000X

NPI Details
NPI 1124420781
Enumeration Date 09/25/2014
Last Updated 09/25/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JOHN S JOHN
Position OWNER/DOCTOR
Phone (979) 690-7201
Fax
Practice Location
915 WILLIAM D. FITCH PARKWAY
SUITE 300
COLLEGE STATION TX, 77845, US
Phone (979) 690-7201
Fax
Business Location
17000 RED HILL AVE
IRVINE CA, 92614-5626, US
Phone (714) 845-8703
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, College Station Modern Dentistry Pc NPI is 1124420781, taxonomy code is 122300000X College Station Modern Dentistry Pc physically located at 915 William D. Fitch Parkway, College Station TX, 77845. NPI Number 1033115704 has the healthcare provider type.

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1124420781 NPI number is provided on an as is basis without warranty of any kind. 1124420781 is maintained by the National Plan & Provider Enumeration System. The contents of College Station Modern Dentistry Pc are for informational purposes only.