| Clarendon Dental Associates Pllc | |
|
# 5 Medical Drive Clarendon TX 79226 | |
| (806) 584-4074 | |
| Not Available |
| Full Name | Clarendon Dental Associates Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | # 5 Medical Drive, Clarendon, Texas |
| Authorized Official Name and Position | Edward John Vlosich (MEMBER) |
| Authorized Official Contact | 8065844074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarendon Dental Associates Pllc 4603 Chesapeake Place Amarillo TX 79119 Ph: (806) 584-4074 | Clarendon Dental Associates Pllc # 5 Medical Drive Clarendon TX 79226 Ph: (806) 584-4074 |
| NPI Number | 1851941207 |
|---|---|
| Provider Enumeration Date | 09/18/2019 |
| Last Update Date | 09/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851941207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |