MUSIC CITY MALL DENTAL PRACTICE P.C. NPI 1265737910

NPI Information

MUSIC CITY MALL DENTAL PRACTICE, P.C. is a general practice dentist in Odessa, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MUSIC CITY MALL DENTAL PRACTICE, P.C. NPI is 1265737910. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4101 E 42ND ST # B-23
ODESSA, TX
ZIP 79762-239
Phone: (432) 363-4867
Fax: (432) 363-1799

The provider's authorized official is Jennifer Owens .
The authorized official title is Manager and has the following contact phone number (432) 520-4867.

The enumeration date for this NPI number is 1/11/2011 and was last updated on 1/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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