| Southern Dental At Baybrook Pllc | |
|
1235 W Bay Area Blvd Webster TX 77598-3832 | |
| (281) 332-6780 | |
| Not Available |
| Full Name | Southern Dental At Baybrook Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1235 W Bay Area Blvd, Webster, Texas |
| Authorized Official Name and Position | Steven Wingfield (SOLE MBR) |
| Authorized Official Contact | 6789061769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Dental At Baybrook Pllc 1235 W Bay Area Blvd Webster TX 77598-3832 Ph: (281) 332-6780 | Southern Dental At Baybrook Pllc 1235 W Bay Area Blvd Webster TX 77598-3832 Ph: (281) 332-6780 |
| NPI Number | 1639553746 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 07/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639553746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30690 (Texas) | Primary |
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