Organization
BOSQUE VALLEY FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON C NEW DDS (PRESIDENT)
(254) 932-6404
Entity
Organization
Contact information
Practice address
701 AVE C, VALLEY MILLS, TX 76689
(254) 932-6404
(254) 932-6405
Mailing address
PO BOX 127, 701 AVE C, VALLEY MILLS, TX 76689
(254) 932-6404
(254) 932-6405
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11551
TX
122300000X
Dentist
Primary
18658
TX
122300000X
Dentist
22305
TX
Other
Enumeration date
08/28/2006
Last updated
10/14/2022
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