| NPI | 1679694038 |
|---|---|
| Other Name | CONROEDENTAL |
| Entity Type | Organization |
| Authorized Contact | KENNETH OSAMOR Owner 936-760-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 21886) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |