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Organization
RED BUTTE DENTAL LLC
Active
Organization
RED BUTTE DENTAL LLC
Active
Other names
Winegar Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDSAY SMITH (PRACTICE MANAGER)
(254) 699-3225
Entity
Organization
Contact information
Practice address
581 PAN AMERICAN DR STE 6, HARKER HEIGHTS, TX 76548-1960
(254) 699-3225
(254) 699-4647
Mailing address
581 PAN AMERICAN DR STE 6, HARKER HEIGHTS, TX 76548-1960
(254) 699-3225
(254) 699-4647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619546173
DENTAL
TX
Enumeration date
01/19/2024
Last updated
01/19/2024
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