Organization
EAGLE DENTAL CENTER OF TEXARKANA PLLC
Active
Other names
Eagle Dental Center PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MIOT (CLINIC ADMINISTRATOR)
(903) 794-9974
Entity
Organization
Contact information
Practice address
4009 MOORES LN, TEXARKANA, TX 75503
(903) 794-9974
(903) 793-6067
Mailing address
4009 MOORES LN, TEXARKANA, TX 75503
(903) 794-9974
(903) 793-6067
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/30/2013
Last updated
06/04/2020
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