| Pecan Grove Family Dental | |
|
1103 Fm 359 Rd Richmond TX 77406-2013 | |
| (281) 342-7050 | |
| (281) 342-0015 |
| Full Name | Pecan Grove Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1103 Fm 359 Rd, Richmond, Texas |
| Authorized Official Name and Position | Kim Wilson (CRED SUPERVISOR) |
| Authorized Official Contact | 2175405170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pecan Grove Family Dental 1103 Fm 359 Rd Richmond TX 77406-2013 Ph: (281) 342-7050 | Pecan Grove Family Dental 1103 Fm 359 Rd Richmond TX 77406-2013 Ph: (281) 342-7050 |
| NPI Number | 1942690003 |
|---|---|
| Provider Enumeration Date | 01/28/2015 |
| Last Update Date | 01/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942690003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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