Longview Family Dental

NPI #1376959379 in Longview, Texas

Provider Information

NPI Number: 1376959379
Entity Type: Organization
Organization Name: Longview Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 10, 2014
Last Updated: Jul 10, 2014

Practice Location

Address: 410 N 3RD ST
City: Longview
State: Texas
ZIP Code: 75601-6507
Phone: (903) 753-2633

Authorized Official

Name: DR. WILLIAM ROBERT JENNINGS
Title: OWNER
Phone: (940) 206-8956

Specialties & Taxonomy Codes

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

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