Organization
FAMILY & COSMETIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY L. FOLDEN D.D.S (OWNER)
(903) 586-0741
Entity
Organization
Contact information
Practice address
2110 E RUSK ST, JACKSONVILLE, TX 75766-9052
(903) 586-0741
(903) 586-0649
Mailing address
2110 E RUSK ST, JACKSONVILLE, TX 75766-9052
(903) 586-0741
(903) 586-0649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/25/2008
Last updated
12/19/2013
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