| Atwood Family Dentistry | |
|
2455 E 11th St Odessa TX 79761-4232 | |
| (432) 337-6165 | |
| Not Available |
| Full Name | Atwood Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2455 E 11th St, Odessa, Texas |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atwood Family Dentistry 2455 E 11th St Odessa TX 79761-4232 Ph: (432) 337-6165 | Atwood Family Dentistry 2455 E 11th St Odessa TX 79761-4232 Ph: (432) 337-6165 |
| NPI Number | 1245879154 |
|---|---|
| Provider Enumeration Date | 12/26/2019 |
| Last Update Date | 12/26/2019 |
| Certification Date | 12/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245879154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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