Main St Dental Pllc

NPI #1164089645 in Alton, Texas

Provider Information

NPI Number
1164089645
Entity Type
Organization
Organization Name
Main St Dental Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
May 21, 2019
Last Updated
May 21, 2019

Practice Location

Address
921 E MAIN AVE STE 2
City
Alton
State
Texas
ZIP Code
78573-1606
Phone
(956) 583-5050

Authorized Official

Name
PATRICK WHILBY, DDS
Title
OWNER/DENTIST
Phone
(956) 583-5050

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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