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Organization
411 DENTAL PC DBA HARRIS CREEK DENTAL
Active
Organization
411 DENTAL PC DBA HARRIS CREEK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM M BABER DDS (PRESIDENT)
(254) 848-9566
Entity
Organization
Contact information
Practice address
27487 W HIGHWAY 84, MC GREGOR, TX 76657-3717
(254) 848-9566
Mailing address
27487 W HIGHWAY 84, MC GREGOR, TX 76657-3717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25535
TX
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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