| Abilene Family and Cosmetic Dentistry, PLLC | |
|
2025 Pine St Abilene TX 79601-2433 | |
| (325) 675-6003 | |
| Not Available |
| Full Name | Abilene Family and Cosmetic Dentistry, PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2025 Pine St, Abilene, Texas |
| Authorized Official Name and Position | Grant Encalade (OWNER) |
| Authorized Official Contact | 3256756003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abilene Family and Cosmetic Dentistry, PLLC 2025 Pine St Abilene TX 79601-2433 | Abilene Family and Cosmetic Dentistry, PLLC 2025 Pine St Abilene TX 79601-2433 Ph: (325) 675-6003 |
| NPI Number | 1346832912 |
|---|---|
| Provider Enumeration Date | 02/05/2021 |
| Last Update Date | 02/05/2021 |
| Certification Date | 02/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346832912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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