Groesbeck Dentist Pllc

NPI #1326420779 in Groesbeck, Texas

Provider Information

NPI Number: 1326420779
Entity Type: Organization
Organization Name: Groesbeck Dentist Pllc
Primary Specialty: Dentist
Enumeration Date: Jun 22, 2015
Last Updated: Jun 22, 2015

Practice Location

Address: 902 W YEAGUA ST
City: Groesbeck
State: Texas
ZIP Code: 76642-3526
Phone: (254) 729-8400

Authorized Official

Name: DR. MICHAEL STEVENS, DDS
Title: PRESIDENT
Phone: (254) 729-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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