| Brazos Valley Dental Group, Llc | |
|
219 Rock Prairie Rd Ste 100 College Station TX 77845-8796 | |
| (979) 695-8000 | |
| (979) 314-9702 |
| Full Name | Brazos Valley Dental Group, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 219 Rock Prairie Rd Ste 100, College Station, Texas |
| Authorized Official Name and Position | Brian S Black (DENTIST / OWNER) |
| Authorized Official Contact | 9796958000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brazos Valley Dental Group, Llc 219 Rock Prairie Rd Ste 100 College Station TX 77845-8796 Ph: (979) 695-8000 | Brazos Valley Dental Group, Llc 219 Rock Prairie Rd Ste 100 College Station TX 77845-8796 Ph: (979) 695-8000 |
| NPI Number | 1306557871 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 12/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306557871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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