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1861461121
GREG S TATE
NACOGDOCHES, TX
NPI
1861461121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: TX 16877)
Enumeration Date
2006-03-17
Last Update Date
2009-06-15
Business Address
DR. GREG S TATE DDS, MD
508 RUSSELL BLVD
NACOGDOCHES, TX 75965-1244
Phone number: 936-569-1111
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Mailing Address
DR. GREG S TATE DDS, MD
508 RUSSELL BLVD
NACOGDOCHES, TX 75965-1244
Phone number: 936-569-1111
Copy
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