Organization
SOUTHWEST DENTAL CARE
Active
Other names
Greenridge Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON RUNYAN DDS (CO-OWNER)
(325) 261-2798
Entity
Organization
Contact information
Practice address
3215 GREEN RIDGE DR, SAN ANGELO, TX 76904-6425
(325) 942-1616
(325) 942-6465
Mailing address
2425 ANTILLEY RD, ABILENE, TX 79606-5100
(325) 244-2434
(325) 692-2076
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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