Organization
ALFRED FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY ALFRED DDS (DENTIST)
(318) 560-7804
Entity
Organization
Contact information
Practice address
2815 CRESTWOOD LN, KILGORE, TX 75662-2903
(318) 560-7804
Mailing address
2815 CRESTWOOD LN, KILGORE, TX 75662-2903
(318) 560-7804
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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