| Dental Cosmetic Center Bay Area | |
|
1708 N Amburn Rd Ste A Texas City TX 77591-2489 | |
| (832) 769-4115 | |
| Not Available |
| Full Name | Dental Cosmetic Center Bay Area |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1708 N Amburn Rd Ste A, Texas City, Texas |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Cosmetic Center Bay Area 1708 N Amburn Rd Ste A Texas City TX 77591-2489 Ph: (832) 769-4115 | Dental Cosmetic Center Bay Area 1708 N Amburn Rd Ste A Texas City TX 77591-2489 Ph: (832) 769-4115 |
| NPI Number | 1316565542 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 07/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316565542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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