| NPI | 1831789387 |
|---|---|
| Former Legal Business Name | FORT BEND DENTAL SWEETWATER |
| Doing Business As | FORT BEND DENTAL GRAND PARKWAY, PLLC |
| Entity Type | Organization |
| Authorized Contact | DWIGHT D PECCORA Doctor/Managing Partner 281-499-3541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2023-07-10 |