| Woodforest Fine Dentistry | |
|
791 Fish Creek Thoroughfare Ste 40 Montgomery TX 77316 | |
| (832) 729-6453 | |
| Not Available |
| Full Name | Woodforest Fine Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 791 Fish Creek Thoroughfare Ste 40, Montgomery, Texas |
| Authorized Official Name and Position | Michael Gillogly (OWNER DENTIST) |
| Authorized Official Contact | 8327296453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodforest Fine Dentistry 113 Checkerbloom Ct Montgomery TX 77316-1528 Ph: (832) 729-6453 | Woodforest Fine Dentistry 791 Fish Creek Thoroughfare Ste 40 Montgomery TX 77316 Ph: (832) 729-6453 |
| NPI Number | 1356801195 |
|---|---|
| Provider Enumeration Date | 03/20/2019 |
| Last Update Date | 03/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356801195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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