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Organization

SMALL TOWN DENTAL

Active
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Organization

SMALL TOWN DENTAL

Active
Parent organization
ANTHONY B. HENEGAR, DDS, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
ANTHONY B. HENEGAR, DDS, PA
Authorized official
ANTHONY B HENEGAR DDS (OWNER/PRESIDENT)
(972) 254-6000
Entity
Organization

Contact information

Practice address
2021 W IRVING BLVD, IRVING, TX 75061-4353
(972) 254-6000
(972) 254-6061
Mailing address
2021 W IRVING BLVD, IRVING, TX 75061-4353
(972) 254-6000
(972) 254-6061

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18083
TX

Other

Enumeration date
04/01/2008
Last updated
04/01/2008
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