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Organization
PERMIAN BASIN DENTAL CENTER
Active
Organization
PERMIAN BASIN DENTAL CENTER
Active
Other names
DBA Tye A. Thompson, DDS, AFAAID
Organization subpart
No
Provider details
NPI number
Authorized official
TYE ALAN THOMPSON DDS (OWNER)
(432) 687-0629
Entity
Organization
Contact information
Practice address
1411 W WALL ST, MIDLAND, TX 79701-6523
(432) 687-0629
(432) 687-3212
Mailing address
1411 W WALL ST, MIDLAND, TX 79701-6523
(432) 687-0629
(432) 687-3212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29882
TX
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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