Camp County Dental PLLC
Dentist in Pittsburg, TX. Organization (NPI-2).
NPI number1669968889
StatusActive
Last updated in NPPESJul 11, 2018
Details
- NPI
- 1669968889
- Entity type
- Organization (NPI-2)
- Legal business name
- Camp County Dental PLLC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2018
- Last updated
- Jul 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 30717 | TX | Yes |
Practice location
113 M L King Jr AvePittsburg, TX 75686
Phone 903-856-3343
Mailing address
113 M L King Jr AvePittsburg, TX 75686
Phone 903-856-3343
Authorized official
Afunrhe E Oghre-Ikanone
Dentist
3146002775
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