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Organization
PENDERGRASS WILKIE DENTISTRY PARTNERSHIP
Active
Organization
PENDERGRASS WILKIE DENTISTRY PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER LEE PENDERGRASS DDS PA (CO OWNER)
(806) 358-8801
Entity
Organization
Contact information
Practice address
6020 BELPREE ROAD, SUITE C, AMARILLO, TX 79106-3333
(806) 358-8802
(806) 358-8894
Mailing address
6020 BELPREE ROAD, SUITE C, AMARILLO, TX 79106-3333
(806) 358-8801
(806) 358-8894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19725
TX
1223G0001X
General Practice Dentistry
20879
TX
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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