| NPI | 1124420781 |
|---|---|
| Doing Business As | COLLEGE STATION MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | VERA PINKSTAFF Owner/Doctor 714-845-8703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2022-06-14 |