New Teeth League City, Pllc

NPI #1811473804 in League City, Texas

Provider Information

NPI Number
1811473804
Entity Type
Organization
Organization Name
New Teeth League City, Pllc
Primary Specialty
Dentist
Enumeration Date
Jul 13, 2018
Last Updated
Jul 13, 2018

Practice Location

Address
2750 W MAIN ST STE D
State
Texas
ZIP Code
77573-1830
Phone
(281) 554-9090

Authorized Official

Name
DR. JAY EDWARD ELLIOTT, DDS
Title
OWNER
Phone
(832) 338-5396

Specialties & Taxonomy Codes

Specialty
Dentist

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