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 |