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Organization
LONGVIEW FAMILY DENTAL
Active
Organization
LONGVIEW FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ROBERT JENNINGS (OWNER)
(940) 206-8956
Entity
Organization
Contact information
Practice address
410 N 3RD ST, LONGVIEW, TX 75601-6507
(903) 753-2633
Mailing address
410 N 3RD ST, LONGVIEW, TX 75601-6507
(903) 753-2633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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