| Organization Name: | CHRISTINE DOLSON D.D.S., P.A. |
| NPI Number: | 1184812638 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINE MARIE DOLSON (DENTIST/OWNER) |
| Mailing Address: | 2910 Gulf Fwy S Suite C League City |
| State: | TX US |
| Postal Code: | 775736790 |
| Phone Number: | 2815343414 |
| Fax Number: | 2815343416 |
| NPI Enumeration Date: | 10/10/2007 |
| NPI Last Update Date: | 10/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 20118 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |