St. Hope Foundation, INC - Dental

NPI #1134636640 in Conroe, Texas

Provider Information

NPI Number
1134636640
Entity Type
Organization
Organization Name
St. Hope Foundation, INC - Dental
Subpart
Yes (part of a larger organization)
Parent Organization
ST. HOPE FOUNDATION, INC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 5, 2018
Last Updated
Jan 5, 2018

Practice Location

Address
1414 S FRAZIER ST
City
Conroe
State
Texas
ZIP Code
77301-4453
Phone
(936) 494-6300

Authorized Official

Name
RODNEY NEIL GOODIE
Title
CEO
Phone
(713) 778-1300

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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