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Organization
GILLESPIE DENTISTRY, PC
Active
Organization
GILLESPIE DENTISTRY, PC
Active
Other names
Azalea Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW HANS GILLESPIE DDS (PRESIDENT)
(903) 593-6585
Entity
Organization
Contact information
Practice address
110 E. NINTH STREET, TYLER, TX 75701
(903) 593-6585
(903) 593-7645
Mailing address
110 E. NINTH STREET, TYLER, TX 75701
(903) 593-6585
(903) 593-7645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25547
TX
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
06/01/2012
Last updated
02/18/2014
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