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1780746024
GREGORY JAN ATWOOD
ODESSA, TX
NPI
1780746024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 22208)
Enumeration Date
2006-12-14
Last Update Date
2012-12-03
Business Address
-- GREGORY JAN ATWOOD DDS
2455 E 11TH ST
ODESSA, TX 79761-4232
Phone number: 432-337-6165
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Mailing Address
-- GREGORY JAN ATWOOD DDS
2455 E 11TH ST
ODESSA, TX 79761-4232
Phone number: 432-337-6165
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