| Cranio Mandibular Affiliates | |
|
4214 Andrews Hwy Ste-307 Midland TX 79703-4822 | |
| (432) 522-3546 | |
| (432) 522-1882 |
| Full Name | Cranio Mandibular Affiliates |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4214 Andrews Hwy, Midland, Texas |
| Authorized Official Name and Position | Grant E Giles (OWNER) |
| Authorized Official Contact | 4325223546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cranio Mandibular Affiliates 4214 Andrews Hwy Ste-307 Midland TX 79703-4822 Ph: (432) 522-3546 | Cranio Mandibular Affiliates 4214 Andrews Hwy Ste-307 Midland TX 79703-4822 Ph: (432) 522-3546 |
| NPI Number | 1881832509 |
|---|---|
| Provider Enumeration Date | 02/03/2009 |
| Last Update Date | 02/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881832509 | NPI | - | NPPES |
| 1083621692 | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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West Texas Imaging Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 W Cuthbert Ave, Midland, TX 79701 Phone: 432-694-5741 Fax: 432-694-5815 | |
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