| Odessa Family Dental | |
|
1157 E 42nd St Ste A Odessa TX 79762-7723 | |
| (432) 242-6666 | |
| (832) 379-5175 |
| Full Name | Odessa Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1157 E 42nd St Ste A, Odessa, Texas |
| Authorized Official Name and Position | Keerthi Miryala (MEMBER) |
| Authorized Official Contact | 8327621914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odessa Family Dental 1157 E 42nd St Ste A Odessa TX 79762-7723 Ph: (432) 242-6666 | Odessa Family Dental 1157 E 42nd St Ste A Odessa TX 79762-7723 Ph: (432) 242-6666 |
| NPI Number | 1346759487 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 06/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346759487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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