Eagle Mountian Family Dental, PC

NPI #1376630525 in Azle, Texas

Provider Information

NPI Number: 1376630525
Entity Type: Organization
Organization Name: Eagle Mountian Family Dental, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 9, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 116 DENVER TRL
City: Azle
State: Texas
ZIP Code: 76020-3614
Phone: (817) 444-3890

Authorized Official

Name: DR. KYLE LARRY REEVES, D.D.S.
Title: PRESIDENT SECRETARY TREASURER
Phone: (817) 444-3890

Specialties & Taxonomy Codes

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

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