institution
Brazos Valley Smiles, Pc
Dental Clinic/Center in College Station, Texas
NPI 1386924694

Brazos Valley Smiles, Pc is a Dental Clinic/Center based in College Station, TX and is specialized in Dental. Brazos Valley Smiles, Pc practices in College Station, TX. The NPI Number for Brazos Valley Smiles, Pc is 1386924694 and holds a License No. 19635 (Texas).

The current practice location address for Brazos Valley Smiles, Pc is 1103 Rock Prairie Rd Ste 1001, College Station, TX and can be reached out via phone at 979-694-5200 and via fax at 979-694-5223.

Location: 1103 Rock Prairie Rd Ste 1001, College Station, TX, 77845-8344
institution
Provider Profile Details
NPI Number
1386924694
Provider Name
Brazos Valley Smiles, Pc
Credential
Provider Entity Type
Organization
Address
1103 Rock Prairie Rd Ste 1001, College Station, TX, 77845-8344
Phone Number
979-694-5200
Fax Number
979-694-5223
Provider Enumeration Date
08/18/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
280969101 05 TX
009547301 05 TX
26291 01 TX DENTAL LICENSE NUMBER
090878203 05 TX
12102 01 TX DENTAL LICENSE NUMBER
19635 01 TX DENTAL LICENSE NUMBER
316310702 05 TX
26496 01 TX DENTAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1103 Rock Prairie Rd Ste 1001
City
State
Zip
77845-8344
Phone Number
979-694-5200
Fax Number
979-694-5223
person
Provider Business Mailing Address Details
Address
1103 Rock Prairie Rd Ste 1001
City
State
Zip
77845-8344
Phone Number
979-694-5200
Fax Number
979-694-5223
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
19635 (Texas)
Definition
Definition to come...
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