| College Station Modern Dentistry | |
|
915 William D. Fitch Parkway Suite 300 College Station TX 77845 | |
| (979) 690-7201 | |
| Not Available |
| Full Name | College Station Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 915 William D. Fitch Parkway, College Station, Texas |
| Authorized Official Name and Position | Vera Pinkstaff (OWNER/DOCTOR) |
| Authorized Official Contact | 7148458703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| College Station Modern Dentistry Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8703 | College Station Modern Dentistry 915 William D. Fitch Parkway Suite 300 College Station TX 77845 Ph: (979) 690-7201 |
| NPI Number | 1124420781 |
|---|---|
| Provider Enumeration Date | 09/25/2014 |
| Last Update Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124420781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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