Organization
ENNIS AVE. PLLC
Active
Other names
Camelot Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MEEKAY D.D.S. (MANAGING MEMBER)
(916) 897-6682
Entity
Organization
Contact information
Practice address
710 W ENNIS AVE, ENNIS, TX 75119-3808
(916) 897-6682
Mailing address
710 W ENNIS AVE, ENNIS, TX 75119-3808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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