Advanced Dental

NPI #1306134101 in Bridge City, Texas

Provider Information

NPI Number: 1306134101
Entity Type: Organization
Organization Name: Advanced Dental
Primary Specialty: Dentist
Enumeration Date: Jul 13, 2011
Last Updated: Jul 13, 2011

Practice Location

Address: 1860 TEXAS AVE
City: Bridge City
State: Texas
ZIP Code: 77611-2808
Phone: (409) 735-8146

Authorized Official

Name: DR. SHANNON MARK MESSER, D.D.S.
Title: DENTIST
Phone: (409) 735-8146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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