Organization
ABBEVILLE DENTISTRY - AMARILLO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE PICKLESIMER (CREDENTIALING SPECIALIST)
(502) 254-8501
Entity
Organization
Contact information
Practice address
3630 SW 45TH AVE, AMARILLO, TX 79109-5689
(806) 223-2886
Mailing address
134 EVERGREEN RD STE 200, LOUISVILLE, KY 40243-1486
(502) 254-8501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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