| NPI | 1467432575 |
|---|---|
| Former Legal Business Name | FORT BEND DENTAL ASSOCIATES, PA |
| Entity Type | Organization |
| Authorized Contact | DWIGHT D PECCORA Doctor/Managing Partner 281-499-3541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223E0200X Dentist, Endodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2023-07-10 |