# 411 DENTAL PC DBA HARRIS CREEK DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124489935
- **Authorized official:** SAM M BABER DDS (PRESIDENT)
- **Authorized official phone:** (254) 848-9566

## Contact information

- **Practice address:** 27487 W HIGHWAY 84, MC GREGOR, TX 76657-3717
- **Practice address phone:** (254) 848-9566
- **Mailing address:** 27487 W HIGHWAY 84, MC GREGOR, TX 76657-3717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 25535 | TX | Yes |

## Other

- **Enumeration date:** 03/08/2016
- **Last updated:** 03/08/2016