James E Theken JR., DDS

NPI #1558479790 in Quinlan, Texas

Provider Information

NPI Number: 1558479790
Entity Type: Individual
Name: James E Theken JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 9011 HWY 34 SOUTH
Address 2: SUITE A
City: Quinlan
State: Texas
ZIP Code: 75474
Phone: (903) 356-3017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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