# AOMS PEDIATRIC DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932672854
- **Authorized official:** MRS. EDITH CONTRERAS (MANAGER)
- **Authorized official phone:** (806) 803-9452

## Contact information

- **Practice address:** 5051 S SONCY RD, AMARILLO, TX 79119-6667
- **Practice address phone:** (806) 803-9452
- **Practice address fax:** (806) 353-7077
- **Mailing address:** 5051 S SONCY RD, AMARILLO, TX 79119-6667
- **Mailing address phone:** (806) 803-9452
- **Mailing address fax:** (806) 353-7077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |

## Other

- **Enumeration date:** 01/03/2019
- **Last updated:** 01/03/2019