FWB DENTAL NPI 1245770148

NPI Information

FWB DENTAL is a general practice dentist in Houston, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FWB DENTAL NPI is 1245770148. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Willowbrook Mall Dental.

The provider's business location address is:

1684 WILLOWBROOK MALL
HOUSTON, TX
ZIP 77070-027
Phone: (281) 955-5558
Fax: (281) 955-8763

The provider's authorized official is Vlada Matytsin .
The authorized official title is Owner/dentist and has the following contact phone number (281) 955-5558.

The enumeration date for this NPI number is 2/27/2017 and was last updated on 2/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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