Koury & Mitschke Dentistry Partnership

NPI 1073667150 - Dentist - 1223G0001X

NPI Details
NPI 1073667150
Enumeration Date 01/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PHILIP C PHILIP
Position GENERAL PARTNER
Phone (979) 297-2491
Fax (979) 297-3468
Practice Location
201 OAK DR S
SUITE 206
LAKE JACKSON TX, 77566-5676, US
Phone (979) 297-2491
Fax (979) 297-3468
Business Location
201 OAK DR S
SUITE 206
LAKE JACKSON TX, 77566-5676, US
Phone (979) 297-2491
Fax (979) 297-3468
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 19079 & 21826
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According to our database, Koury & Mitschke Dentistry Partnership NPI is 1073667150, taxonomy code is 1223G0001X and license number is 19079 & 21826, license state is located at Texas. Koury & Mitschke Dentistry Partnership physically located at 201 Oak Dr S, Lake Jackson TX, 77566-5676. NPI Number 1033115704 has the healthcare provider type.

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1073667150 NPI number is provided on an as is basis without warranty of any kind. 1073667150 is maintained by the National Plan & Provider Enumeration System. The contents of Koury & Mitschke Dentistry Partnership are for informational purposes only.