DR. Theral Brent Hargis, DDS

NPI #1740366996 in Longview, Texas

Provider Information

NPI Number
1740366996
Entity Type
Individual
Name
DR. Theral Brent Hargis, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Oct 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1011 N 4TH ST
State
Texas
ZIP Code
75601-4738
Phone
(903) 753-0570

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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