Organization
CLARENDON DENTAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD JOHN VLOSICH DDS (MEMBER)
(806) 584-4074
Entity
Organization
Contact information
Practice address
# 5 MEDICAL DRIVE, CLARENDON, TX 79226
(806) 584-4074
Mailing address
4603 CHESAPEAKE PLACE, AMARILLO, TX 79119
(806) 584-4074
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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