De Graffenried Dental, Pllc

NPI #1962092049 in Kilgore, Texas

Provider Information

NPI Number: 1962092049
Entity Type: Organization
Organization Name: De Graffenried Dental, Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 22, 2021
Last Updated: Jan 22, 2021

Practice Location

Address: 238 LAWRENCE ST
City: Kilgore
State: Texas
ZIP Code: 75662-2610
Phone: (903) 984-0614

Authorized Official

Name: MS. JENNIFER SAMPLES
Title: HUMAN RESOURCES
Phone: (903) 984-0614

Specialties & Taxonomy Codes

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

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