| Pleasant Grove Family Dentistry | |
|
4330 Mcknight Rd Texarkana TX 75503-0923 | |
| (903) 838-9700 | |
| (903) 832-3505 |
| Full Name | Pleasant Grove Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4330 Mcknight Rd, Texarkana, Texas |
| Authorized Official Name and Position | Torin Michael Marracino (DENTIST/OWNER) |
| Authorized Official Contact | 9037333390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleasant Grove Family Dentistry 4330 Mcknight Rd Texarkana TX 75503-0923 Ph: (903) 838-9700 | Pleasant Grove Family Dentistry 4330 Mcknight Rd Texarkana TX 75503-0923 Ph: (903) 838-9700 |
| NPI Number | 1316490832 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 08/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316490832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31840 (Texas) | Primary |
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