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Organization

FULL SMILE DENTAL HEREFORD, PLLC

Active
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Organization

FULL SMILE DENTAL HEREFORD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER WILLIAMS CS (CREDENTIALING SPECIALIST)
(806) 353-1055
Entity
Organization

Contact information

Practice address
809 W PARK AVE, HEREFORD, TX 79045-4001
(806) 641-1373
(806) 353-7077
Mailing address
5051 S SONCY RD, AMARILLO, TX 79119-6667
(806) 353-1055
(806) 353-7077

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
11/07/2022
Last updated
11/07/2022
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