| |
3121 H G Moseley Pkwy Longview TX 75605-2942 | |
(903) 663-0861 | |
(903) 663-9148 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 3121 H G Moseley Pkwy, Longview, Texas |
Authorized Official Name and Position | Chris L Kirby (OWNER DENTIST) |
Authorized Official Contact | 9036630861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3121 H G Moseley Pkwy Longview TX 75605-2942 Ph: (903) 663-0861 | 3121 H G Moseley Pkwy Longview TX 75605-2942 Ph: (903) 663-0861 |
NPI Number | 1710015623 |
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Provider Enumeration Date | 03/01/2007 |
Last Update Date | 12/10/2015 |
Identifier | Type | State | Issuer |
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1710015623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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