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1801054044
ODESSA MALL FDC PA
ODESSA, TX
NPI
1801054044
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Entity Type
Organization
Authorized Contact
LYNN ARMSTRONG
Regional Manager
505-328-4867
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 0008481)
Enumeration Date
2008-05-23
Last Update Date
2008-05-23
Business Address
ODESSA MALL FDC PA
4101 E 42ND STE B23
ODESSA, TX 79762-7239
Phone number: 432-363-4867
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Mailing Address
ODESSA MALL FDC PA
4101 E 42ND STE B23
ODESSA, TX 79762-7239
Phone number: 432-363-4867
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