Organization
DERID S. URE, DDS, MSD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERID URE D.D.S. (PRESIDENT)
(806) 792-8116
Entity
Organization
Contact information
Practice address
4601 50TH ST, SUITE 206, LUBBOCK, TX 79414-3513
(806) 792-8116
Mailing address
4601 50TH ST, SUITE 206, LUBBOCK, TX 79414-3513
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
25110
TX
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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