Pwd Dentistry Management LLC

NPI #1366831372 in Huntsville, Texas

Provider Information

NPI Number
1366831372
Entity Type
Organization
Organization Name
Pwd Dentistry Management LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PWD DENTISTRY MANAGEMENT LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 14, 2015
Last Updated
Jan 14, 2015

Practice Location

Address
2804 LAKE RD STE 5
State
Texas
ZIP Code
77340-5626
Phone
(936) 439-5227

Authorized Official

Name
MRS. ANDREA LYNN VIGNOS, RDA
Title
OFFICE MANAGER
Phone
(713) 876-4560

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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