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1962156117
NORTHWEST TEXAS OMS, PLLC
LUBBOCK, TX
NPI
1962156117
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Entity Type
Organization
Authorized Contact
JUSTIN BONNER
Managing Member
806-282-5442
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-02-07
Last Update Date
2022-02-07
Business Address
NORTHWEST TEXAS OMS, PLLC
3234 64TH ST STE B
LUBBOCK, TX 79413-5761
Phone number: 806-722-3637
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Mailing Address
NORTHWEST TEXAS OMS, PLLC
3234 64TH ST STE B
LUBBOCK, TX 79413-5761
Phone number: 806-722-3637
Copy
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