Breckenridge Dental Pllc
NPI #1588259840 in Breckenridge, Texas
Provider Information
- NPI Number
- 1588259840
- Entity Type
- Organization
- Organization Name
- Breckenridge Dental Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 8, 2021
- Last Updated
- Mar 8, 2021
Practice Location
- Address
- 111 S MILLER ST
- City
- Breckenridge
- State
- Texas
- ZIP Code
- 76424-4355
- Phone
- (254) 559-2420
Authorized Official
- Name
- KAMALPREET SHALLU, DMD
- Title
- OWNER/DENTIST
- Phone
- (347) 759-2152
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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