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Individual

ANDREW WINSLOW MCDANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2811 S LOOP 289, UNIT 12, LUBBOCK, TX 79423-1488
(806) 748-9797
Mailing address
2811 S LOOP 289, UNIT 12, LUBBOCK, TX 79423-1488
(806) 748-9797

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401410694
VA
1223G0001X
General Practice Dentistry
Primary
23087
TX
1223G0001X
General Practice Dentistry
3774
SC
1223G0001X
General Practice Dentistry
DN012199
GA

Other

Enumeration date
12/15/2006
Last updated
06/09/2010
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