Organization
CARTHAGE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM FOWLER RDH (OWNER)
(903) 693-8500
Entity
Organization
Contact information
Practice address
401 N ADAMS ST, CARTHAGE, TX 75633-1311
(903) 693-8500
(903) 693-8501
Mailing address
401 N ADAMS ST, CARTHAGE, TX 75633-1311
(903) 693-8500
(903) 693-8501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11803
TX
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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