| Eagle Mountian Family Dental, Pc | |
|
116 Denver Trl Azle TX 76020-3614 | |
| (817) 444-3890 | |
| Not Available |
| Full Name | Eagle Mountian Family Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 116 Denver Trl, Azle, Texas |
| Authorized Official Name and Position | Kyle Larry Reeves (PRESIDENT SECRETARY TREASURER) |
| Authorized Official Contact | 8174443890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Mountian Family Dental, Pc 116 Denver Trl Azle TX 76020-3614 Ph: (817) 444-3890 | Eagle Mountian Family Dental, Pc 116 Denver Trl Azle TX 76020-3614 Ph: (817) 444-3890 |
| NPI Number | 1376630525 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376630525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20177 (Texas) | Primary |
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