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De Graffenried Dental, Pllc
Dental Clinic/Center in Kilgore, Texas
NPI 1962092049

De Graffenried Dental, Pllc is a Dental Clinic/Center based in Kilgore, TX and is specialized in Dental. De Graffenried Dental, Pllc practices in Kilgore, TX. The NPI Number for De Graffenried Dental, Pllc is 1962092049 and holds a License No. (Texas).

The current practice location address for De Graffenried Dental, Pllc is 238 Lawrence St, Kilgore, TX and can be reached out via phone at 903-984-0614 and via fax at 903-984-3834.

Location: 238 Lawrence St, Kilgore, TX, 75662-2610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962092049
Provider Name
De Graffenried Dental, Pllc
Credential
Provider Entity Type
Organization
Address
238 Lawrence St, Kilgore, TX, 75662-2610
Phone Number
903-984-0614
Fax Number
903-984-3834
Provider Enumeration Date
01/22/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1831205004 01 TX NPI
1437762622 01 TX NPI
institution
Provider Business Practice Location Address Details
Address
238 Lawrence St
City
Kilgore
State
Texas
Zip
75662-2610
Phone Number
903-984-0614
Fax Number
903-984-3834
person
Provider Business Mailing Address Details
Address
238 Lawrence St
City
Kilgore
State
Texas
Zip
75662-2610
Phone Number
903-984-0614
Fax Number
903-984-3834
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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