Organization
JOHN K. DRISDALE III, DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN K DRISDALE III DMD (OWNER)
(512) 468-5071
Entity
Organization
Contact information
Practice address
2303 W LOUISIANA AVE, MIDLAND, TX 79701-5800
(512) 468-5071
Mailing address
2303 W LOUISIANA AVE, MIDLAND, TX 79701-5800
(432) 684-7424
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
04/01/2021
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