Ks2 Tx Pc

NPI 1033380142 - Dentist - 1223E0200X

NPI Details
NPI 1033380142
Enumeration Date 03/17/2008
Last Updated 12/19/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DALE G DALE
Position PRESIDENT
Phone (800) 920-9947
Fax (678) 904-5666
Practice Location
4754 S 14TH ST
ABILENE TX, 79605-4733, US
Phone (800) 920-9947
Fax (678) 904-5666
Business Location
1090 NORTHCHASE PKWY SE
SUITE 150
MARIETTA GA, 30067-6405, US
Phone (770) 916-5028
Fax (678) 247-7858
Toxanomy
Taxonomy Code 1223E0200X
License State
License Number
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According to our database, Ks2 Tx Pc NPI is 1033380142, taxonomy code is 1223E0200X Ks2 Tx Pc physically located at 4754 S 14th St, Abilene TX, 79605-4733. NPI Number 1033115704 has the healthcare provider type.

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1033380142 NPI number is provided on an as is basis without warranty of any kind. 1033380142 is maintained by the National Plan & Provider Enumeration System. The contents of Ks2 Tx Pc are for informational purposes only.