| NPI | 1114443207 |
|---|---|
| Doing Business As | CONROE COMPREHENSIVE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GARDNER Owner 936-539-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16499) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-07-21 |