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Individual

CAROLYN DALE DENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
508 N RIEDEL ST, YORKTOWN, TX 78164-1810
(361) 564-9230
(361) 564-9246
Mailing address
508 N RIEDEL ST, YORKTOWN, TX 78164-1810
(361) 564-9230
(361) 564-9246

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L5302
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
155386908
TX
01
1F5097
MEDICARE
TX
Enumeration date
10/03/2006
Last updated
03/07/2023
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