Organization · NPI-2

Bay Oaks Family Dentistry PLLC

Dentist, General Practice · Richmond, TX

NPI number1932901238
StatusActive
Last updated in NPPESApr 11, 2025

Details

NPI
1932901238
Entity type
Organization (NPI-2)
Legal business name
Bay Oaks Family Dentistry PLLC
Organization subpart
No
Enumeration date
Mar 26, 2025
Certification date
Apr 11, 2025
Last updated
Apr 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

9711 S Mason Rd Ste 110
Richmond, TX 77407-7168

Phone 713-465-8239

Mailing address

1919 Lake Winds Dr # 105
Missouri City, TX 77459-1710

Authorized official

Shervin Amini
Access Manager
7134658239

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