Organization
BRECKENRIDGE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMALPREET SHALLU DMD (OWNER/DENTIST)
(347) 759-2152
Entity
Organization
Contact information
Practice address
111 S MILLER ST, BRECKENRIDGE, TX 76424-4355
(254) 559-2420
Mailing address
111 S MILLER ST, BRECKENRIDGE, TX 76424-4355
(254) 559-2420
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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