NPI 1619354693
Montgomery Comprehensive Dental Center
Practice location
- Address
- 2210 N Frazier St Suite #120, Conroe, TX 77303-1780
- Phone
- (936) 539-3636
- Fax
- (936) 539-3639
- Mailing address
- 0951 Lonestar Parkway, Montgomery, TX 77356-0951
Authorised official
- Name
- Rachel D Stark
- Title
- Financial Coordinator
- Phone
- (936) 539-3636
Registered specialties
Exclusive Provider Organization
Primary
Registry record
- NPI
- 1619354693
- Entity type
- Organization
- NPI issued
- 29 Apr 2015
- Record last updated
- 29 Apr 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.