Small Town Dental

NPI #1366614182 in Irving, Texas

Provider Information

NPI Number
1366614182
Entity Type
Organization
Organization Name
Small Town Dental
Subpart
Yes (part of a larger organization)
Parent Organization
ANTHONY B. HENEGAR, DDS, PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 1, 2008
Last Updated
Apr 1, 2008

Practice Location

Address
2021 W IRVING BLVD
City
Irving
State
Texas
ZIP Code
75061-4353
Phone
(972) 254-6000

Authorized Official

Name
ANTHONY B HENEGAR, DDS
Title
OWNER/PRESIDENT
Phone
(972) 254-6000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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