Texas Dental Implant Center

NPI #1780012203 in Jonesboro, Texas

Provider Information

NPI Number
1780012203
Entity Type
Organization
Organization Name
Texas Dental Implant Center
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Oct 18, 2013
Last Updated
Oct 18, 2013

Practice Location

Address
1237 COUNTY ROAD 197
State
Texas
ZIP Code
76538-1207
Phone
(910) 922-9644

Authorized Official

Name
MS. JESSE LYNN DEITZ, RN, MBA
Title
PRACTICE DIRECTOR
Phone
(254) 300-8804

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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