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Organization
PARKVIEW DENTAL CLINIC
Active
Organization
PARKVIEW DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE MICHAEL SMITH (OWNER)
(806) 826-5505
Entity
Organization
Contact information
Practice address
306 E 9TH ST, WHEELER, TX 79096
(806) 826-5505
(806) 826-5051
Mailing address
PO BOX 468, WHEELER, TX 79096-0468
(806) 826-5505
(806) 826-5051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8844
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160574301
—
TX
Enumeration date
06/02/2008
Last updated
06/02/2008
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