Individual
DR. GLADYS JOHNSON WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5730 66TH ST, SUITE 2, LUBBOCK, TX 79424-1224
(806) 535-0238
(806) 794-0025
Mailing address
PO BOX 16209, LUBBOCK, TX 79490-6209
(806) 535-0238
(806) 794-0025
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11953
TX
Other
Enumeration date
12/13/2006
Last updated
10/01/2014
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