Individual
DELTON TODD TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2815 S GEORGIA ST, AMARILLO, TX 79109-1975
(806) 358-7646
Mailing address
2815 S GEORGIA ST, AMARILLO, TX 79109-1975
(806) 358-7646
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36455
TX
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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