| NPI | 1467693069 |
|---|---|
| Doing Business As | DENTAL AND ORTHODONTIC CENTER OF LAKE CONROE |
| Entity Type | Organization |
| Authorized Contact | BRIAN CHRISTOPHER PRATT Dentist 832-381-6724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21738) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 21777) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |