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Organization
NEEDVILLE FAMILY DENTISTRY, PLLC
Active
Organization
NEEDVILLE FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER KUNKEL DDS (PRESIDENT)
(979) 793-5566
Entity
Organization
Contact information
Practice address
12815 HIGHWAY 36, NEEDVILLE, TX 77461-8112
(979) 793-5566
Mailing address
PO BOX 1627, NEEDVILLE, TX 77461-1627
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/19/2020
Last updated
05/15/2024
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