Organization
MARBLE FALLS PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY ALY (REGIONAL MANAGER)
(936) 419-3235
Entity
Organization
Contact information
Practice address
608 GATEWAY CENTRAL, SUITE 201, MARBLE FALLS, TX 78654-6354
(830) 428-2255
Mailing address
608 GATEWAY CENTRAL, SUITE 201, MARBLE FALLS, TX 78654-6354
(830) 428-2255
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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