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Organization
TEMPLE TOTAL DENTAL AND ORTHODONTICS PLLC
Active
Organization
TEMPLE TOTAL DENTAL AND ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
7410 W ADAMS AVE STE 140, TEMPLE, TX 76502-5892
(254) 870-0547
Mailing address
2403 LACY LN, CARROLLTON, TX 75006-6514
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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