Individual
IVAN ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 WOLFLIN AVE, AMARILLO, TX 79109-1832
(806) 350-5437
Mailing address
6311 GERMANTOWN AVE APT 301, PHILADELPHIA, PA 19144-2093
(806) 220-5727
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
41253
TX
Other
Enumeration date
03/08/2023
Last updated
07/30/2025
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