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Organization

AMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC

Active
Other names
Amarillo Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
LYNSEY HARRISON (COO)
(806) 350-5437
Entity
Organization

Contact information

Practice address
2300 WOLFLIN AVE, AMARILLO, TX 79109
(806) 398-2536
(806) 350-5438
Mailing address
2300 WOLFLIN AVE, AMARILLO, TX 79109
(806) 350-5437
(806) 350-5438

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
177133901
TX
05
200248890A
OK
05
29824753
NM
Enumeration date
09/26/2006
Last updated
02/20/2025
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