| Everest Dental Conroe Corporation | |
|
2104 N Frazier St Ste D Conroe TX 77301-1250 | |
| (936) 756-5080 | |
| (936) 727-2786 |
| Full Name | Everest Dental Conroe Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2104 N Frazier St Ste D, Conroe, Texas |
| Authorized Official Name and Position | Loc Bui (PRESIDENT) |
| Authorized Official Contact | 8328816868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Everest Dental Conroe Corporation 2104 N Frazier St Ste D Conroe TX 77301-1250 Ph: () - | Everest Dental Conroe Corporation 2104 N Frazier St Ste D Conroe TX 77301-1250 Ph: (936) 756-5080 |
| NPI Number | 1619496882 |
|---|---|
| Provider Enumeration Date | 09/19/2017 |
| Last Update Date | 09/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619496882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22638 (Texas) | Primary |
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