Organization
AMARILLO SMILES PLLC
Active
Other names
Oneida Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN EARL BOGGS (CHIEF OF OPERATIONS)
(940) 368-1495
Entity
Organization
Contact information
Practice address
802 E AMARILLO BLVD STE 300, AMARILLO, TX 79107-5401
(806) 553-7877
Mailing address
1261 W GREEN OAKS BLVD STE 103, ARLINGTON, TX 76013-8349
(940) 368-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24348
TX
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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