Larry W. Treadaway, D.d.s., Inc.

NPI 1225196264 - Dentist - 1223G0001X

NPI Details
NPI 1225196264
Enumeration Date 12/04/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LARRY W LARRY
Position OWNER
Phone (972) 875-6081
Fax (972) 875-5043
Practice Location
504 S CLAY ST
ENNIS TX, 75119-4551, US
Phone (972) 875-6081
Fax (972) 875-5043
Business Location
504 S CLAY ST
ENNIS TX, 75119-4551, US
Phone (972) 875-6081
Fax (972) 875-5043
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 12249
Remove 1225196264 NPI Number
 

According to our database, Larry W. Treadaway, D.d.s., Inc. NPI is 1225196264, taxonomy code is 1223G0001X and license number is 12249, license state is located at Texas. Larry W. Treadaway, D.d.s., Inc. physically located at 504 S Clay St, Ennis TX, 75119-4551. NPI Number 1033115704 has the healthcare provider type.

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1225196264 NPI number is provided on an as is basis without warranty of any kind. 1225196264 is maintained by the National Plan & Provider Enumeration System. The contents of Larry W. Treadaway, D.d.s., Inc. are for informational purposes only.