Alfred Family Dentistry

NPI #1588212609 in Kilgore, Texas

Provider Information

NPI Number: 1588212609
Entity Type: Organization
Organization Name: Alfred Family Dentistry
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 2, 2019
Last Updated: Sep 2, 2019

Practice Location

Address: 2815 CRESTWOOD LN
City: Kilgore
State: Texas
ZIP Code: 75662-2903
Phone: (318) 560-7804

Authorized Official

Name: DR. JEREMY ALFRED, DDS
Title: DENTIST
Phone: (318) 560-7804

Specialties & Taxonomy Codes

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

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