Organization
PARKVIEW PEDIATRIC DENTAL HOLDINGS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI COLLINGSWORTH (ADMINISTRATOR)
(806) 796-2408
Entity
Organization
Contact information
Practice address
7515 QUAKER AVE STE 100, LUBBOCK, TX 79424-5315
(806) 796-2408
Mailing address
7515 QUAKER AVE STE 100, LUBBOCK, TX 79424-5315
(806) 796-2408
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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