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Organization
JCL DENTAL PLLC
Active
Organization
JCL DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINTHIA FERNANDEZ (OPERATIONS DIRECTOR)
(940) 399-7106
Entity
Organization
Contact information
Practice address
300 OLIVE ST, SMITHVILLE, TX 78957-1437
(512) 237-4420
Mailing address
300 OLIVE ST, SMITHVILLE, TX 78957-1437
(512) 237-4420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3413981-03
—
TX
Enumeration date
01/06/2023
Last updated
01/06/2023
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