| NPI | 1053066167 |
|---|---|
| Doing Business As | WEST BRAZOS DENTAL CENTER BRAZORIA |
| Entity Type | Organization |
| Authorized Contact | KIM R YEAROUT Office Manager 979-345-1023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-03-14 |