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Organization
IGNEOUS DENTAL PLLC
Active
Organization
IGNEOUS DENTAL PLLC
Active
Other names
Willow Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY POTTS (OFFICE MANAGER)
(806) 798-2996
Entity
Organization
Contact information
Practice address
4903 82ND ST STE 20, LUBBOCK, TX 79424-3123
(806) 798-2996
(806) 798-2998
Mailing address
10901 QUAKER AVE, LUBBOCK, TX 79424-8315
(806) 300-8000
(806) 794-9947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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