| Pdc Kendall Gengel Dudley Garrison Llc | |
|
580 Us-59 Garrison TX 75946 | |
| (800) 235-1732 | |
| Not Available |
| Full Name | Pdc Kendall Gengel Dudley Garrison Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 580 Us-59, Garrison, Texas |
| Authorized Official Name and Position | Amber Hallum (OFFICE MANAGER) |
| Authorized Official Contact | 8002351732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdc Kendall Gengel Dudley Garrison Llc 4354 Pines Rd Shreveport LA 71119-7738 Ph: (800) 235-1732 | Pdc Kendall Gengel Dudley Garrison Llc 580 Us-59 Garrison TX 75946 Ph: (800) 235-1732 |
| NPI Number | 1265379416 |
|---|---|
| Provider Enumeration Date | 05/04/2026 |
| Last Update Date | 05/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265379416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |