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Contact Information

411 DENTAL PC DBA HARRIS CREEK DENTAL
27487 W HIGHWAY 84
MCGREGOR, TX76657-3717
 Phone: 254-848-9566
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 411 DENTAL PC DBA HARRIS CREEK DENTAL · (Female)

NPI Number 1124489935
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2016
Last updated 03/08/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 25535
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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