Delton Todd Tatum, DDS

NPI #1194335539 in Amarillo, Texas

Provider Information

NPI Number: 1194335539
Entity Type: Individual
Name: Delton Todd Tatum, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 31, 2020
Last Updated: Jul 31, 2020

Practice Location

Address: 2815 S GEORGIA ST
City: Amarillo
State: Texas
ZIP Code: 79109-1975
Phone: (806) 358-7646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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