Provider Demographics
NPI:1184812638
Name:CHRISTINE DOLSON D.D.S., P.A.
Entity type:Organization
Organization Name:CHRISTINE DOLSON D.D.S., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DOLSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-534-3414
Mailing Address - Street 1:2910 GULF FWY S
Mailing Address - Street 2:SUITE C
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-6790
Mailing Address - Country:US
Mailing Address - Phone:281-534-3414
Mailing Address - Fax:281-534-3416
Practice Address - Street 1:2910 GULF FWY S
Practice Address - Street 2:SUITE C
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-6790
Practice Address - Country:US
Practice Address - Phone:281-534-3414
Practice Address - Fax:281-534-3416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20118261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental