| Deluxe Dental | |
|
1101 Stone St Suite 106 Kilgore TX 75662-5808 | |
| (903) 200-5111 | |
| Not Available |
| Full Name | Deluxe Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1101 Stone St, Kilgore, Texas |
| Authorized Official Name and Position | Vishal Kulkarni (OWNER) |
| Authorized Official Contact | 9032005111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deluxe Dental 1101 Stone St Suite 106 Kilgore TX 75662-5808 Ph: () - | Deluxe Dental 1101 Stone St Suite 106 Kilgore TX 75662-5808 Ph: (903) 200-5111 |
| NPI Number | 1801328539 |
|---|---|
| Provider Enumeration Date | 03/31/2017 |
| Last Update Date | 04/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801328539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31955 (Texas) | Primary |
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