Organization
PERMIAN BRACEIN, PLLC
Active
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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