| NPI | 1275917999 |
|---|---|
| Doing Business As | CONROE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KENNETH OSAMOR Director 936-760-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 21886) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |