Individual
GEORGE CLINT BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2420 QUAKER AVE, STE 102, LUBBOCK, TX 79410
(806) 792-6291
(806) 792-6329
Mailing address
7515 QUAKER AVE STE 200, LUBBOCK, TX 79424-5317
(806) 792-6291
(806) 792-6329
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16810
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140577101
—
TX
Enumeration date
07/12/2006
Last updated
04/16/2018
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