Sherwood Dental Center Pc | |
2500 Coulter Rd 101 Amarillo TX 79106 | |
(806) 358-8561 | |
(806) 358-3646 |
Full Name | Sherwood Dental Center Pc |
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Speciality | Dentist - Endodontics |
Location | 2500 Coulter Rd, Amarillo, Texas |
Authorized Official Name and Position | Lloyd Dean Koen (PRESIDENT SHERWOOD DENTAL CENTAL PC) |
Authorized Official Contact | 8063588561 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sherwood Dental Center Pc 2500 Coulter Rd 101 Amarillo TX 79106 Ph: (806) 358-8561 | Sherwood Dental Center Pc 2500 Coulter Rd 101 Amarillo TX 79106 Ph: (806) 358-8561 |
NPI Number | 1962685917 |
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Provider Enumeration Date | 12/13/2007 |
Last Update Date | 02/22/2012 |
Identifier | Type | State | Issuer |
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1962685917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 10969TX (Texas) | Primary |
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