| Midland Park Mall Dental Practice, P.c. | |
|
4511 N Midkiff Rd Ste E15 Midland TX 79705-3242 | |
| (432) 520-4867 | |
| (432) 694-7927 |
| Full Name | Midland Park Mall Dental Practice, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4511 N Midkiff Rd Ste E15, Midland, Texas |
| Authorized Official Name and Position | Jennifer Owens (MANAGER) |
| Authorized Official Contact | 4325204867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland Park Mall Dental Practice, P.c. 4511 N Midkiff Rd Ste E15 Midland TX 79705-3242 Ph: (432) 520-4867 | Midland Park Mall Dental Practice, P.c. 4511 N Midkiff Rd Ste E15 Midland TX 79705-3242 Ph: (432) 520-4867 |
| NPI Number | 1467757112 |
|---|---|
| Provider Enumeration Date | 01/11/2011 |
| Last Update Date | 01/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467757112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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