Organization
LUBBOCK DENTAL IMPLANT CENTER PLLC
Active
Other names
Lubbock Perio & Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R BROWN (BUSINESS MANAGER)
(806) 797-1275
Entity
Organization
Contact information
Practice address
4415 66TH ST, SUITE 112, LUBBOCK, TX 79414-4809
(806) 797-1275
(806) 797-1274
Mailing address
4415 66TH ST, SUITE 112, LUBBOCK, TX 79414-4809
(806) 797-1275
(806) 797-1274
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
23079
TX
1223P0300X
Periodontics
Primary
23079
TX
Other
Enumeration date
06/23/2015
Last updated
09/19/2024
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