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Organization
NORTHEAST TEXAS PERIODONTAL SERVICES
Active
Organization
NORTHEAST TEXAS PERIODONTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN E HODGES D.D.S., M.S. (OWNER)
(903) 785-4832
Entity
Organization
Contact information
Practice address
3420 CLARKSVILLE ST, PARIS, TX 75460-8014
(903) 785-4832
Mailing address
PO BOX 6578, PARIS, TX 75461-6578
(903) 785-4832
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20061
TX
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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