Organization
FULL SMILE ENDODONTICS, PLLC
Active
Other names
Full Smile Endodontics, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN MORRIS N/A (CREDENTIALING SPECIALIST)
(806) 353-1055
Entity
Organization
Contact information
Practice address
5051 S SONCY RD, AMARILLO, TX 79119-6667
(806) 353-1055
(806) 353-7077
Mailing address
5051 S SONCY RD, AMARILLO, TX 79119-6667
(806) 353-1055
(806) 353-7077
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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