Organization
ABBEVILLE KIDS DENTISTREE - LUBBOCK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONEL MCCOMBS (CREDENTIALING SPECIALIST)
(502) 254-8500
Entity
Organization
Contact information
Practice address
3801 50TH ST, LUBBOCK, TX 79413-3807
(502) 254-8500
(502) 245-5021
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
(502) 254-8500
(502) 245-5021
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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