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1034 N Willis St Abilene TX 79603-4622 | |
| (325) 673-8164 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1034 N Willis St, Abilene, Texas |
| Authorized Official Name and Position | Stephen James (CFO) |
| Authorized Official Contact | 5022548501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 437169 Louisville KY 40253-7169 Ph: (502) 254-8537 | 1034 N Willis St Abilene TX 79603-4622 Ph: (325) 673-8164 |
| NPI Number | 1871971317 |
|---|---|
| Provider Enumeration Date | 05/18/2015 |
| Last Update Date | 05/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871971317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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