| NPI | 1104495209 |
|---|---|
| Doing Business As | CONROE ADVANCED DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN PAUL VARGO Member 832-242-4337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-22 |