Individual
DR. AMLAN PANKAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
802 E AMARILLO BLVD # 300, AMARILLO, TX 79107-5401
(806) 553-7877
Mailing address
2607 WOLFLIN AVE # 901, AMARILLO, TX 79109-1825
(631) 561-5464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36804
TX
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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