Full Smile Dental Hereford, Pllc

NPI #1063120343 in Hereford, Texas

Provider Information

NPI Number: 1063120343
Entity Type: Organization
Organization Name: Full Smile Dental Hereford, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 7, 2022
Last Updated: Nov 7, 2022

Practice Location

Address: 809 W PARK AVE
City: Hereford
State: Texas
ZIP Code: 79045-4001
Phone: (806) 641-1373

Authorized Official

Name: JENNIFER WILLIAMS, CS
Title: CREDENTIALING SPECIALIST
Phone: (806) 353-1055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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