Organization
DENTAL HEALTH ASSOCIATES OF TX, P.C.
Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TX, P.C.
Other names
Brazos Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TX, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
3620 SCROGGINS DR, WACO, TX 76705-2579
(254) 799-5746
Mailing address
3620 SCROGGINS DR, WACO, TX 76705-2579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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