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Organization
KILLEEN DENTAL HEALTH CENTER, PA
Active
Organization
KILLEEN DENTAL HEALTH CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD B PERRIN DDS (OWNER)
(254) 519-4700
Entity
Organization
Contact information
Practice address
1405 E ELMS RD, KILLEEN, TX 76542-2810
(254) 519-4700
(254) 519-7649
Mailing address
1405 E ELMS RD, KILLEEN, TX 76542-2810
(254) 519-4700
(254) 519-7649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0913253-01
—
TX
01
—
814149
UNITED CONCORDIA INS.
TX
Enumeration date
08/31/2006
Last updated
06/26/2008
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