Individual
GARY STEPHEN JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4515 VAN WINKLE, AMARILLO, TX 79119
(806) 358-0368
(806) 351-1744
Mailing address
4515 VAN WINKLE, AMARILLO, TX 79119
(806) 358-0368
(806) 351-1744
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13256
TX
Other
Enumeration date
10/24/2005
Last updated
05/10/2011
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