| Duffy Dental Ranch | |
|
100 Hardeman Blvd. Justin TX 76247 | |
| (940) 278-0909 | |
| (940) 278-0908 |
| Full Name | Duffy Dental Ranch |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 100 Hardeman Blvd., Justin, Texas |
| Authorized Official Name and Position | Teressa Keith (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9402780909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duffy Dental Ranch 100 Hardeman Blvd. Justin TX 76247 Ph: (940) 278-0909 | Duffy Dental Ranch 100 Hardeman Blvd. Justin TX 76247 Ph: (940) 278-0909 |
| NPI Number | 1346832078 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346832078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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