Individual
JOE CHITWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18476 FM 1062, CANYON, TX 79015-7811
(806) 499-3216
Mailing address
18476 FM 1062, CANYON, TX 79015-7811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11636
TX
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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