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1679709968
SHANE REX TOLLESON
DENTON, TX
NPI
1679709968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TX 23430)
Enumeration Date
2009-06-01
Last Update Date
2009-06-01
Business Address
-- SHANE REX TOLLESON DDS
1719 S LOOP 288 STE 110
DENTON, TX 76205-4810
Phone number: 940-735-1102
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Mailing Address
-- SHANE REX TOLLESON DDS
1719 S LOOP 288 STE 110
DENTON, TX 76205-4810
Phone number: 940-735-1102
Copy
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