# FAMILY & COSMETIC DENTISTRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447405949
- **Authorized official:** DR. LARRY L. FOLDEN D.D.S (OWNER)
- **Authorized official phone:** (903) 586-0741

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2008
- **Last updated:** 12/19/2013