Ennis Ave. Pllc

NPI #1053722884 in Ennis, Texas

Provider Information

NPI Number
1053722884
Entity Type
Organization
Organization Name
Ennis Ave. Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
May 14, 2014
Last Updated
May 14, 2014

Practice Location

Address
710 W ENNIS AVE
City
Ennis
State
Texas
ZIP Code
75119-3808
Phone
(916) 897-6682

Authorized Official

Name
JOHN MEEKAY, D.D.S.
Title
MANAGING MEMBER
Phone
(916) 897-6682

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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