Organization
ABILENE FAMILY AND COSMETIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT ENCALADE DDS (OWNER)
(325) 675-6003
Entity
Organization
Contact information
Practice address
2025 PINE ST, ABILENE, TX 79601-2433
(325) 675-6003
Mailing address
2025 PINE ST, ABILENE, TX 79601-2433
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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