| Mgmdds | |
|
13810 John Audubon Pkwy Ste A Webster TX 77598-3862 | |
| (281) 486-9222 | |
| (281) 486-8700 |
| Full Name | Mgmdds |
|---|---|
| Speciality | Dentist |
| Location | 13810 John Audubon Pkwy Ste A, Webster, Texas |
| Authorized Official Name and Position | Michael G Moore (OWNER/DENTIST) |
| Authorized Official Contact | 2814869222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mgmdds 13810 John Audubon Pkwy Ste A Webster TX 77598-3862 Ph: (281) 486-9222 | Mgmdds 13810 John Audubon Pkwy Ste A Webster TX 77598-3862 Ph: (281) 486-9222 |
| NPI Number | 1093948044 |
|---|---|
| Provider Enumeration Date | 08/25/2009 |
| Last Update Date | 08/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093948044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17826 (Texas) | Primary |
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