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Organization
POST FAMILY DENTAL, PLLC
Active
Organization
POST FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD RICKY SOUTHARD (ADMINISTRATOR)
(806) 789-7424
Entity
Organization
Contact information
Practice address
204 W MAIN ST, POST, TX 79356-3234
(806) 495-3600
Mailing address
204 W MAIN ST, POST, TX 79356-3234
(806) 495-3600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15599
TX
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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