West Brazos Orthodontics and Dental Pllc

NPI #1447635172 in West Columbia, Texas

Provider Information

NPI Number: 1447635172
Entity Type: Organization
Organization Name: West Brazos Orthodontics and Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Jul 23, 2015
Last Updated: Jul 23, 2015

Practice Location

Address: 503 DANCE DR
City: West Columbia
State: Texas
ZIP Code: 77486-4019
Phone: (979) 345-1023

Authorized Official

Name: MARY PU
Title: VP OF FINANCE
Phone: (972) 869-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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