Koury & Mitschke Dentistry Partnership Valid NPI

Organization · General Practice Dentistry · Lake Jackson, TX

NPI

1073667150

Type

Organization (Type 2)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

19079 & 21826 (TX)

Enumerated

2007-01-23

Last updated

2020-08-22