West Lake Colonnade Dental, Pllc

NPI #1427146463 in Humble, Texas

Provider Information

NPI Number
1427146463
Entity Type
Organization
Organization Name
West Lake Colonnade Dental, Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 11, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
18477 W LAKE HOUSTON PKWY
Address 2
SUITE 80
City
Humble
State
Texas
ZIP Code
77346-3517
Phone
(281) 812-3333

Authorized Official

Name
DR. BRANDY MICHELLE BURNETT, D.D.S.
Title
GENERAL COUNSEL
Phone
(281) 812-3333

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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