| NPI | 1982202537 |
|---|---|
| Doing Business As | CLEAR LAKE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | KELLY L BROWN Dental Hygienist 281-332-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |