Mont Belvieu Family Dentistry Pllc
NPI #1841848066 in Mont Belvieu, Texas
Provider Information
- NPI Number
- 1841848066
- Entity Type
- Organization
- Organization Name
- Mont Belvieu Family Dentistry Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 30, 2019
- Last Updated
- Aug 30, 2019
Practice Location
- Address
- 9205 EAGLE DR.
- Address 2
- STE 100
- City
- Mont Belvieu
- State
- Texas
- ZIP Code
- 77580
- Phone
- (832) 479-0062
Authorized Official
- Name
- FAITH GASKINS
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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