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Organization
EAGLE DENTAL CENTER OF TEXARKANA PLLC
Active
Organization
EAGLE DENTAL CENTER OF TEXARKANA PLLC
Active
Other names
Eagle Dental Center PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MIOT (CLINIC ADMINISTRATOR)
(903) 794-9974
Entity
Organization
Contact information
Practice address
4009 MOORES LN, TEXARKANA, TX 75503
(903) 794-9974
(903) 793-6067
Mailing address
4009 MOORES LN, TEXARKANA, TX 75503
(903) 794-9974
(903) 793-6067
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/30/2013
Last updated
06/04/2020
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