Canton Family Dental

NPI #1649851296 in Canton, Texas

Provider Information

NPI Number: 1649851296
Entity Type: Organization
Organization Name: Canton Family Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 15, 2021
Last Updated: Apr 15, 2021

Practice Location

Address: 104 BURNETT TRL
City: Canton
State: Texas
ZIP Code: 75103-1700
Phone: (903) 567-2207

Authorized Official

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

Specialties & Taxonomy Codes

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

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