| Alfred Family Dentistry | |
|
2815 Crestwood Ln Kilgore TX 75662-2903 | |
| (318) 560-7804 | |
| Not Available |
| Full Name | Alfred Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2815 Crestwood Ln, Kilgore, Texas |
| Authorized Official Name and Position | Jeremy Alfred (DENTIST) |
| Authorized Official Contact | 3185607804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfred Family Dentistry 2815 Crestwood Ln Kilgore TX 75662-2903 Ph: (318) 560-7804 | Alfred Family Dentistry 2815 Crestwood Ln Kilgore TX 75662-2903 Ph: (318) 560-7804 |
| NPI Number | 1588212609 |
|---|---|
| Provider Enumeration Date | 09/02/2019 |
| Last Update Date | 09/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588212609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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