| Elite Oral Surgery Conroe Pllc | |
|
15260 Tx 105 W Suite 154 Montgomery TX 77356 | |
| (832) 416-1341 | |
| (832) 529-1461 |
| Full Name | Elite Oral Surgery Conroe Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 15260 Tx 105 W, Montgomery, Texas |
| Authorized Official Name and Position | Jackie Carranza (GENERAL MANAGER/HR) |
| Authorized Official Contact | 2812568400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Oral Surgery Conroe Pllc 15260 Tx 105 W Suite 154 Montgomery TX 77356 Ph: (832) 416-1341 | Elite Oral Surgery Conroe Pllc 15260 Tx 105 W Suite 154 Montgomery TX 77356 Ph: (832) 416-1341 |
| NPI Number | 1336826593 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336826593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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