| Bryan Pediatric Dentistry PC | |
|
2510 S Texas Ave Bryan TX 77802-2329 | |
| (317) 903-9276 | |
| Not Available |
| Full Name | Bryan Pediatric Dentistry PC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2510 S Texas Ave, Bryan, Texas |
| Authorized Official Name and Position | Kristine Donnelly (OWNER, PEDIATRIC DENTIST) |
| Authorized Official Contact | 9797032893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Pediatric Dentistry PC 1709 Glade St College Station TX 77840-4341 Ph: (317) 903-9276 | Bryan Pediatric Dentistry PC 2510 S Texas Ave Bryan TX 77802-2329 Ph: (317) 903-9276 |
| NPI Number | 1891219499 |
|---|---|
| Provider Enumeration Date | 07/26/2017 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891219499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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