Johnny Donald Tice, DDS

NPI #1124541164 in Hobbs, New Mexico

Provider Information

NPI Number: 1124541164
Entity Type: Individual
Name: Johnny Donald Tice, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 21, 2017
Last Updated: Oct 10, 2017

Practice Location

Address: 1710 W JOE HARVEY BLVD STE B
City: Hobbs
State: New Mexico
ZIP Code: 88240-0821
Phone: (888) 988-4066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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