# ABBEVILLE KIDS DENTISTREE- LUBBOCK PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Abbeville Kids Dentistree- Lubbock PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902147218
- **Authorized official:** KATHIE ARMSTRONG (CREDENTIALING MANAGER)
- **Authorized official phone:** (502) 254-8501

## Contact information

- **Practice address:** 3801 50TH ST, SUITE 12, LUBBOCK, TX 79413-3807
- **Practice address phone:** (806) 300-8934
- **Practice address fax:** (806) 798-1168
- **Mailing address:** 3801 50TH ST, SUITE 12, LUBBOCK, TX 79413-3807
- **Mailing address phone:** (806) 300-8934
- **Mailing address fax:** (806) 798-1168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2013
- **Last updated:** 03/12/2013