| NPI | 1790422715 |
|---|---|
| Doing Business As | CONROE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LOGAN WOOD Partner 361-484-7053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |