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Organization
ETX DENTAL PLLC
Active
Organization
ETX DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY GIESLER (OWNER)
(903) 796-9051
Entity
Organization
Contact information
Practice address
601 N WALNUT ST, JEFFERSON, TX 75657-1851
(903) 665-3914
Mailing address
1 BAYOU DR, ATLANTA, TX 75551-3402
(903) 796-9051
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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