Organization
DAVID B. GREGORY, D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM WIDEMAN (OFFICE MANAGER)
(806) 792-4889
Entity
Organization
Contact information
Practice address
3302 64TH ST, LUBBOCK, TX 79413-5743
(806) 792-4889
(806) 793-2624
Mailing address
3302 64TH ST, LUBBOCK, TX 79413-5743
(806) 792-4889
(806) 793-2624
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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