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Individual

DR. DUSTIN E VAN TASSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2200 KELL BLVD, WICHITA FALLS, TX 76309-4401
(940) 322-2252
(940) 322-7090
Mailing address
2200 KELL BLVD, WICHITA FALLS, TX 76309-4401
(940) 322-2252
(940) 322-7090

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31726
TX

Other

Enumeration date
06/06/2015
Last updated
05/11/2020
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