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Organization

PERMIAN BRACEIN, PLLC

Active
Other names
Key City Kids Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
CARSON PHILLIPS DDS (OWNER)
(432) 770-6247
Entity
Organization

Contact information

Practice address
3781 CATCLAW DR, ABILENE, TX 79606-8203
(432) 770-6247
Mailing address
4425 W WADLEY AVE STE 100, MIDLAND, TX 79707-5330
(432) 770-6247

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
04/14/2023
Last updated
05/01/2024
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