| Fadal Pediatric Dentistry, Pa | |
|
5 Doctor Cir Longview TX 75605-5050 | |
| (903) 758-6406 | |
| (903) 758-8116 |
| Full Name | Fadal Pediatric Dentistry, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5 Doctor Cir, Longview, Texas |
| Authorized Official Name and Position | Debbie Harris (OFFICE MANAGER) |
| Authorized Official Contact | 9037586406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fadal Pediatric Dentistry, Pa 5 Doctor Cir Longview TX 75605-5050 Ph: (903) 758-6406 | Fadal Pediatric Dentistry, Pa 5 Doctor Cir Longview TX 75605-5050 Ph: (903) 758-6406 |
| NPI Number | 1194129627 |
|---|---|
| Provider Enumeration Date | 10/13/2014 |
| Last Update Date | 10/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194129627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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