Organization
WEST TEXAS PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARCHANA GUTTA DDS; MPH (PEDIATRIC DENTIST)
(432) 242-5747
Entity
Organization
Contact information
Practice address
3306 ANDREWS HWY, MIDLAND, TX 79703-5131
(432) 242-5747
Mailing address
3306 ANDREWS HWY, MIDLAND, TX 79703-5131
(432) 242-5747
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202112312
—
TX
Enumeration date
01/24/2019
Last updated
01/24/2019
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