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1511 Emerald Plz College Station TX 77845-1501 | |
| (979) 695-8029 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1511 Emerald Plz, College Station, Texas |
| Authorized Official Name and Position | Steven Williams (DENTIST) |
| Authorized Official Contact | 9797773829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1511 Emerald Plz College Station TX 77845-1501 Ph: () - | 1511 Emerald Plz College Station TX 77845-1501 Ph: (979) 695-8029 |
| NPI Number | 1376064337 |
|---|---|
| Provider Enumeration Date | 06/29/2017 |
| Last Update Date | 06/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376064337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Texas) | Primary |
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