Mgmdds

NPI #1093948044 in Webster, Texas

Provider Information

NPI Number: 1093948044
Entity Type: Organization
Organization Name: Mgmdds
Primary Specialty: Dentist
Enumeration Date: Aug 25, 2009
Last Updated: Aug 25, 2009

Practice Location

Address: 13810 JOHN AUDUBON PKWY STE A
City: Webster
State: Texas
ZIP Code: 77598-3862
Phone: (281) 486-9222

Authorized Official

Name: MICHAEL G MOORE, D.D.S.
Title: OWNER/DENTIST
Phone: (281) 486-9222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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