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3665 Us Highway 259 N Longview TX 75605-7772 | |
(903) 758-5551 | |
(903) 758-5877 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 3665 Us Highway 259 N, Longview, Texas |
Authorized Official Name and Position | Timothy J Gengel (OWNER/DENTIST) |
Authorized Official Contact | 9037585551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3665 Us Highway 259 N Longview TX 75605-7772 Ph: (903) 758-5551 | 3665 Us Highway 259 N Longview TX 75605-7772 Ph: (903) 758-5551 |
NPI Number | 1619590593 |
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Provider Enumeration Date | 05/26/2020 |
Last Update Date | 05/20/2024 |
Identifier | Type | State | Issuer |
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1619590593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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