Organization
EXCELLENT DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL H RENFRO (BUSINESS ADMINISTRATOR)
(940) 627-2778
Entity
Organization
Contact information
Practice address
1101 W EAGLE DR STE A, DECATUR, TX 76234-3721
(940) 627-2778
(940) 627-7104
Mailing address
1101 W EAGLE DR STE A, DECATUR, TX 76234-3721
(940) 627-2778
(940) 627-7104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12614
TX
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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