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Organization

NORTHEAST TEXAS COMMUNITY COLLEGE DENTAL HYGIENE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH JO JOHNSON RDH, PH.D (PROGRAM DIRECTOR)
(903) 434-8352
Entity
Organization

Contact information

Practice address
2886 FM 1735, CHAPEL HILL ROAD, MT. PLEASANT, TX 75455
(903) 434-8350
(903) 434-4424
Mailing address
PO BOX 1307, MT PLEASANT, TX 75456-9991
(903) 434-8350
(903) 434-4424

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
124Q00000X
Dental Hygienist
Primary

Other

Enumeration date
12/20/2013
Last updated
12/20/2013
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