Longhorn Dental

NPI 1083794739 - Dentist - 1223G0001X

NPI Details
NPI 1083794739
Enumeration Date 10/17/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MALCOLM RAY MALCOLM
Position PRESIDENT
Phone (254) 933-3993
Fax (254) 933-2757
Practice Location
511 LAKE ROAD
#107
BELTON TX, 76513, US
Phone (254) 933-3993
Fax (254) 933-2757
Business Location
7517 CAMERON ROAD
SUITE 107
AUSTIN TX, 78752, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
Remove 1083794739 NPI Number
 

According to our database, Longhorn Dental NPI is 1083794739, taxonomy code is 1223G0001X Longhorn Dental physically located at 511 Lake Road, Belton TX, 76513. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1083794739 NPI number is provided on an as is basis without warranty of any kind. 1083794739 is maintained by the National Plan & Provider Enumeration System. The contents of Longhorn Dental are for informational purposes only.