| Baybrook Mall Dental Pc | |
|
1012 Baybrook Mall Friendswood TX 77546-2744 | |
| (281) 461-6515 | |
| Not Available |
| Full Name | Baybrook Mall Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1012 Baybrook Mall, Friendswood, Texas |
| Authorized Official Name and Position | Rostislav Krasnov (OWNER) |
| Authorized Official Contact | 9179029515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baybrook Mall Dental Pc 1012 Baybrook Mall Friendswood TX 77546-2744 Ph: (281) 461-6515 | Baybrook Mall Dental Pc 1012 Baybrook Mall Friendswood TX 77546-2744 Ph: (281) 461-6515 |
| NPI Number | 1861732273 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 12/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861732273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN16377 (Florida) | Primary |
Baybrook Mall Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 Baybrook Mall, Friendswood, TX 77546 Phone: 281-461-6515 Fax: 281-461-6687 | |
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