Baybrook Mall Dental PC
NPI #1861732273 in Friendswood, Texas
Provider Information
- NPI Number
- 1861732273
- Entity Type
- Organization
- Organization Name
- Baybrook Mall Dental PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 21, 2013
- Last Updated
- Dec 4, 2014
Practice Location
- Address
- 1012 BAYBROOK MALL
- City
- Friendswood
- State
- Texas
- ZIP Code
- 77546-2744
- Phone
- (281) 461-6515
Authorized Official
- Name
- DR. ROSTISLAV KRASNOV, DDS
- Title
- OWNER
- Phone
- (917) 902-9515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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