| NPI | 1972176642 |
|---|---|
| Doing Business As | BRAZOS VALLEY ENDODONTIC ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | SALLY ROSE HAYS Managing Member 979-776-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |