| Brident Dds Pc | |
|
6644 Garth Rd Baytown TX 77521-8623 | |
| (281) 839-0532 | |
| Not Available |
| Full Name | Brident Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 6644 Garth Rd, Baytown, Texas |
| Authorized Official Name and Position | Maribel Zamora (ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 7145713104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brident Dds Pc 530 S Main St Ste 600 Orange CA 92868-4544 Ph: (714) 571-3104 | Brident Dds Pc 6644 Garth Rd Baytown TX 77521-8623 Ph: (281) 839-0532 |
| NPI Number | 1548991862 |
|---|---|
| Provider Enumeration Date | 06/17/2022 |
| Last Update Date | 06/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548991862 | NPI | - | NPPES |
| G60850 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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