| West Texas Pediatric Dentistry Pllc | |
|
3306 Andrews Hwy Midland TX 79703-5131 | |
| (432) 242-5747 | |
| Not Available |
| Full Name | West Texas Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3306 Andrews Hwy, Midland, Texas |
| Authorized Official Name and Position | Archana Gutta (PEDIATRIC DENTIST) |
| Authorized Official Contact | 4322425747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Texas Pediatric Dentistry Pllc 3306 Andrews Hwy Midland TX 79703-5131 Ph: (432) 242-5747 | West Texas Pediatric Dentistry Pllc 3306 Andrews Hwy Midland TX 79703-5131 Ph: (432) 242-5747 |
| NPI Number | 1518421437 |
|---|---|
| Provider Enumeration Date | 01/24/2019 |
| Last Update Date | 01/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518421437 | NPI | - | NPPES |
| 202112312 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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