institution
Passionate Dental Wellness Pa Corporation
Dental Clinic/Center in Jasper, Texas
NPI 1932871100

Passionate Dental Wellness Pa Corporation is a Dental Clinic/Center based in Jasper, TX and is specialized in Dental. Passionate Dental Wellness Pa Corporation practices in Jasper, TX. The NPI Number for Passionate Dental Wellness Pa Corporation is 1932871100 and holds a License No. (Texas).

The current practice location address for Passionate Dental Wellness Pa Corporation is 103 W Gibson St Ste 112, Jasper, TX and can be reached out via phone at 409-224-8357 and via fax at 409-224-8360.

Location: 103 W Gibson St Ste 112, Jasper, TX, 75951-5062
institution
Provider Profile Details
NPI Number
1932871100
Provider Name
Passionate Dental Wellness Pa Corporation
Credential
Provider Entity Type
Organization
Address
103 W Gibson St Ste 112, Jasper, TX, 75951-5062
Phone Number
409-224-8357
Fax Number
409-224-8360
Provider Enumeration Date
10/05/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1285642017 05 TX
institution
Provider Business Practice Location Address Details
Address
103 W Gibson St Ste 112
City
State
Zip
75951-5062
Phone Number
409-224-8357
Fax Number
409-224-8360
person
Provider Business Mailing Address Details
Address
103 W Gibson St Ste 112
City
State
Zip
75951-5062
Phone Number
409-224-8357
Fax Number
409-224-8360
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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