Eddie Glenn Tennison D.D.S.

NPI 1023068038 - Dentist - 1223G0001X

NPI Details
NPI 1023068038
Gender Male
Enumeration Date 05/11/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2117 N MAYS ST
ROUND ROCK TX, 78664-2155, US
Phone (512) 244-1221
Fax (512) 244-7773
Business Location
2117 N MAYS ST
ROUND ROCK TX, 78664-2155, US
Phone (512) 244-1221
Fax (512) 244-7773
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 14580
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According to our database, Dr. Eddie Glenn Tennison D.D.S. NPI is 1023068038, taxonomy code is 1223G0001X and license number is 14580, license state is located at Texas. Eddie Glenn Tennison D.D.S. physically located at 2117 N Mays St, Round Rock TX, 78664-2155. NPI Number Eddie Glenn Tennison D.D.S. has the Individual type.

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1023068038 NPI number is provided on an as is basis without warranty of any kind. 1023068038 is maintained by the National Plan & Provider Enumeration System. The contents of Eddie Glenn Tennison D.D.S. are for informational purposes only.