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1972625978
PERMIAN BASIN DENTAL GROUP
ODESSA, TX
NPI
1972625978
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Entity Type
Organization
Authorized Contact
KENNETH WELBY HIGGINS
Owner
432-563-1760
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 12663)
Enumeration Date
2007-04-03
Last Update Date
2012-08-08
Business Address
PERMIAN BASIN DENTAL GROUP
2631 FAUDREE RD UNIT B
ODESSA, TX 79765-8530
Phone number: 432-563-1760
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Mailing Address
PERMIAN BASIN DENTAL GROUP
2631 FAUDREE RD UNIT B
ODESSA, TX 79765-8530
Phone number: 432-563-1760
Copy
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