Organization
AMARILLO DENTURE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON CLARK DAMON JR. DDS (OWNER/PRESIDENT)
(817) 336-2121
Entity
Organization
Contact information
Practice address
1900 S COULTER ST, E, AMARILLO, TX 79106-1784
(817) 336-2121
Mailing address
1900 S COULTER ST, E, AMARILLO, TX 79106-1784
(817) 336-2121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27147
TX
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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