Organization
SOUTH PLAINS PEDIATRIC DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOHNSON DDS (PARTNER OWNER)
(806) 795-9503
Entity
Organization
Contact information
Practice address
5102 SALEM AVE, LUBBOCK, TX 79414-4036
(806) 795-9503
(806) 795-2920
Mailing address
5102 SALEM AVE, LUBBOCK, TX 79414-4036
(806) 795-9503
(806) 795-2920
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/20/2007
Last updated
12/05/2007
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