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Organization
MAGRUDER
Active
Organization
MAGRUDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY MAGRUDER DDS (OWNER)
(409) 762-4522
Entity
Organization
Contact information
Practice address
3314 AVENUE O, GALVESTON, TX 77550-6712
(409) 762-4522
Mailing address
3314 AVENUE O, GALVESTON, TX 77550-6712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11659
TX
1223G0001X
General Practice Dentistry
Primary
25665
TX
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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