Conglomerate Pllc

NPI #1154955805 in Pflugerville, Texas

Provider Information

NPI Number: 1154955805
Entity Type: Organization
Organization Name: Conglomerate Pllc
Primary Specialty: Dentist
Enumeration Date: Mar 2, 2020
Last Updated: Apr 9, 2020

Practice Location

Address: 1620 GRAND AVENUE PKWY STE 130
City: Pflugerville
State: Texas
ZIP Code: 78660-2185
Phone: (512) 670-8482

Authorized Official

Name: DR. LARESEA WOODS, DDS
Title: DENTIST/PART-OWNER
Phone: (334) 590-4223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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