Organization
CEN-TEX FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE BALDWIN (MGR)
(254) 300-7649
Entity
Organization
Contact information
Practice address
3000 OLD FM 440 RD STE 106, KILLEEN, TX 76549-1603
(254) 300-7649
Mailing address
PO BOX 11832, KILLEEN, TX 76547-1832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25314
TX
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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