Organization
ABBEVILLE DENTISTRY - WASHINGTON ST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
1915 S WASHINGTON ST, UNIT 100, AMARILLO, TX 79109-2412
(806) 553-8400
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
(502) 254-8537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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