Organization
ACRE WOOD DENTAL - GATESVILLE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHA L FUENTES (OFFICE MANAGER)
(254) 778-4951
Entity
Organization
Contact information
Practice address
105 N LUTTERLOH AVE, GATESVILLE, TX 76528-1421
(254) 865-7918
(254) 248-0529
Mailing address
105 N LUTTERLOH AVE, GATESVILLE, TX 76528-1421
(254) 865-7918
(254) 248-0529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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