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Organization
GARY M EASLEY, DDS INC
Active
Organization
GARY M EASLEY, DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY M EASLEY DDS (PRESIDENT)
(325) 356-5263
Entity
Organization
Contact information
Practice address
203 VALLEY FORGE ST, COMANCHE, TX 76442
(325) 356-5263
(325) 356-2875
Mailing address
PO BOX 705, 203 VALLEY FORGE ST, COMANCHE, TX 76442-0705
(325) 356-5263
(325) 356-2875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D11,309
BCBS IDENTIFIER
TX
Enumeration date
07/26/2006
Last updated
08/22/2020
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