East Texas Endodonics

NPI 1346249612 - Dentist - 1223E0200X

NPI Details
NPI 1346249612
Enumeration Date 07/19/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARK A MARK
Position PRESIDENT
Phone (903) 757-8890
Fax (903) 757-7198
Practice Location
815C NORTH 4TH STREET
LONGVIEW TX, 75601-5439, US
Phone (903) 757-8890
Fax (903) 757-7198
Business Location
815C NORTH 4TH STREET
LONGVIEW TX, 75601-5439, US
Phone (903) 757-8890
Fax (903) 757-7198
Toxanomy
Taxonomy Code 1223E0200X
License State Texas
License Number 12232
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According to our database, East Texas Endodonics NPI is 1346249612, taxonomy code is 1223E0200X and license number is 12232, license state is located at Texas. East Texas Endodonics physically located at 815c North 4th Street, Longview TX, 75601-5439. NPI Number 1033115704 has the healthcare provider type.

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1346249612 NPI number is provided on an as is basis without warranty of any kind. 1346249612 is maintained by the National Plan & Provider Enumeration System. The contents of East Texas Endodonics are for informational purposes only.