Mission Bend Family Dentistry

NPI #1740652437 in Richmond, Texas

Provider Information

NPI Number: 1740652437
Entity Type: Organization
Organization Name: Mission Bend Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 21, 2015
Last Updated: Oct 21, 2015

Practice Location

Address: 7039 FM 1464 RD
Address 2: SUITE 130
City: Richmond
State: Texas
ZIP Code: 77407-2000
Phone: (832) 500-4940

Authorized Official

Name: BILLY PUCKETT, DDS
Title: OWNER
Phone: (832) 500-4940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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