Organization
PARKVIEW PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN SEAN JANSSEN DDS (OWNER)
(806) 928-6355
Entity
Organization
Contact information
Practice address
7515 QUAKER AVE, SUITE 1, LUBBOCK, TX 79424-5308
(806) 928-6355
Mailing address
7515 QUAKER AVE, SUITE 1, LUBBOCK, TX 79424-5308
(806) 928-6355
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24601
TX
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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