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Organization

AOMS PEDIATRIC DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EDITH CONTRERAS (MANAGER)
(806) 803-9452
Entity
Organization

Contact information

Practice address
5051 S SONCY RD, AMARILLO, TX 79119-6667
(806) 803-9452
(806) 353-7077
Mailing address
5051 S SONCY RD, AMARILLO, TX 79119-6667
(806) 803-9452
(806) 353-7077

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223G0001X
General Practice Dentistry
1223P0221X
Pediatric Dentistry

Other

Enumeration date
01/03/2019
Last updated
01/03/2019
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