Etx Dental Pllc

NPI #1417729245 in Jefferson, Texas

Provider Information

NPI Number: 1417729245
Entity Type: Organization
Organization Name: Etx Dental Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 25, 2023
Last Updated: Oct 25, 2023

Practice Location

Address: 601 N WALNUT ST
City: Jefferson
State: Texas
ZIP Code: 75657-1851
Phone: (903) 665-3914

Authorized Official

Name: CODY GIESLER
Title: OWNER
Phone: (903) 796-9051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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