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Organization
TEXAS KIDS DENTAL CARE OF FABENS, PA
Active
Organization
TEXAS KIDS DENTAL CARE OF FABENS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA PORRAS (OFFICE MANAGER)
(915) 858-6868
Entity
Organization
Contact information
Practice address
1018 N. FABENS, FABENS, TX 79838
(915) 764-0096
Mailing address
PO BOX 3324, FABENS, TX 79838-3324
(915) 764-0096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24362
TX
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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