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Organization

FAMILY & COSMETIC DENTISTRY PC

Active
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Organization

FAMILY & COSMETIC DENTISTRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY L. FOLDEN D.D.S (OWNER)
(903) 586-0741
Entity
Organization

Contact information

Practice address
2110 E RUSK ST, JACKSONVILLE, TX 75766-9052
(903) 586-0741
(903) 586-0649
Mailing address
2110 E RUSK ST, JACKSONVILLE, TX 75766-9052
(903) 586-0741
(903) 586-0649

Taxonomy

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

Other

Enumeration date
11/25/2008
Last updated
12/19/2013
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