| NPI | 1902147218 |
|---|---|
| Doing Business As | ABBEVILLE KIDS DENTISTREE- LUBBOCK PLLC |
| Entity Type | Organization |
| Authorized Contact | KATHIE ARMSTRONG Credentialing Manager 502-254-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |