Organization
ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC
Active
Other names
Lubbock Dentistry for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF REIBEL (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
4217 85TH ST, LUBBOCK, TX 79423-1931
(502) 254-8500
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
09/05/2023
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