| Breckenridge Dental Pllc | |
|
111 S Miller St Breckenridge TX 76424-4355 | |
| (254) 559-2420 | |
| Not Available |
| Full Name | Breckenridge Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 111 S Miller St, Breckenridge, Texas |
| Authorized Official Name and Position | Kamalpreet Shallu (OWNER/DENTIST) |
| Authorized Official Contact | 3477592152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breckenridge Dental Pllc 111 S Miller St Breckenridge TX 76424-4355 Ph: (254) 559-2420 | Breckenridge Dental Pllc 111 S Miller St Breckenridge TX 76424-4355 Ph: (254) 559-2420 |
| NPI Number | 1588259840 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588259840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |