Organization
PEDIATRIC DENTISTRY OF TEXARKANA PLLC
Active
Other names
Pediatric Dentistry of Texarkana
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M GLASS D.D.S. (DENTIST)
(901) 833-1141
Entity
Organization
Contact information
Practice address
5301 COWHORN CREEK ROAD, TEXARKANA, TX 75503
(901) 833-1141
Mailing address
5301 COWHORN CREEK ROAD, TEXARKANA, TX 75503
(901) 833-1141
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
26442
TX
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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