Individual
FOLGER BRYANT VALLETTE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2000 4TH AVE, CANYON, TX 79015-4026
(806) 655-2191
(806) 655-2192
Mailing address
2000 4TH AVE, CANYON, TX 79015-4026
(806) 655-2191
(806) 655-2192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13230
TX
Other
Enumeration date
05/11/2007
Last updated
10/03/2016
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