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Organization
PDC KENDALL GENGEL DUDLEY GARRISON LLC
Active
Organization
PDC KENDALL GENGEL DUDLEY GARRISON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER HALLUM (OFFICE MANAGER)
(800) 235-1732
Entity
Organization
Contact information
Practice address
580 US-59, GARRISON, TX 75946
(800) 235-1732
Mailing address
4354 PINES RD, SHREVEPORT, LA 71119-7738
(800) 235-1732
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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