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Organization
TERRY FAMILY DENTAL, PC
Active
Organization
TERRY FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDELL SHANE TERRY DDS (OWNER/DENTIST)
(903) 873-2523
Entity
Organization
Contact information
Practice address
209 CORKY BOYD AVE, WILLS POINT, TX 75169-2815
(903) 873-2523
(903) 873-4405
Mailing address
209 CORKY BOYD AVE, WILLS POINT, TX 75169-2815
(903) 873-2523
(903) 873-4405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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