| Baybrook Mall Dental | |
|
1012 Baybrook Mall Friendswood TX 77546-2744 | |
| (281) 461-6515 | |
| (281) 461-6687 |
| Full Name | Baybrook Mall Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1012 Baybrook Mall, Friendswood, Texas |
| Authorized Official Name and Position | Vlada Matytsin (OWNER/DENTIST) |
| Authorized Official Contact | 2814616515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baybrook Mall Dental 1012 Baybrook Mall Friendswood TX 77546-2744 Ph: (281) 461-6515 | Baybrook Mall Dental 1012 Baybrook Mall Friendswood TX 77546-2744 Ph: (281) 461-6515 |
| NPI Number | 1013458983 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 03/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013458983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30466 (Texas) | Primary |
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