Organization
ABILENE DENTAL CARE SOUTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(630) 877-3520
Entity
Organization
Contact information
Practice address
4102 BUFFALO GAP RD STE F, ABILENE, TX 79605-7243
(325) 200-4820
Mailing address
4102 BUFFALO GAP RD STE F, ABILENE, TX 79605-7243
(325) 200-4820
(972) 590-8809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
09/12/2019
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