Organization
FADAL PEDIATRIC DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE HARRIS (OFFICE MANAGER)
(903) 758-6406
Entity
Organization
Contact information
Practice address
5 DOCTOR CIR, LONGVIEW, TX 75605-5050
(903) 758-6406
(903) 758-8116
Mailing address
5 DOCTOR CIR, LONGVIEW, TX 75605-5050
(903) 758-6406
(903) 758-8116
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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