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Organization

AMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS, PA

Active
Parent organization
AMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS PA
Authorized official
LYNSEY HARRISON (COO)
(806) 350-5437
Entity
Organization

Contact information

Practice address
74 PATTERSON CIRCLE, BOYS RANCH, TX 79010
(806) 350-5437
(806) 350-5438
Mailing address
2300 WOLFLIN AVE, AMARILLO, TX 79109-1832
(806) 350-5437
(806) 350-5438

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
08/27/2018
Last updated
07/01/2024
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