Affordable Dentures & Implants - Texas, PLLC
Dentist, General Practice in Amarillo, TX. Organization (NPI-2).
NPI number1164091047
StatusActive
Last updated in NPPESNov 17, 2021
Details
- NPI
- 1164091047
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Dentures & Implants - Texas, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 23, 2021
- Certification date
- Nov 17, 2021
- Last updated
- Nov 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 122300000X | Dentist | – | – |
Practice location
2330 S Soncy Rd Ste 300Amarillo, TX 79124-2162
Phone 806-355-6700
Mailing address
2330 S Soncy Rd Ste 300Amarillo, TX 79124-2162
Phone 806-355-6700
Authorized official
Haley Wooster
Enrollment Specialist
7127338551
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