John K. Drisdale Iii, Dmd, Pllc

NPI #1265036917 in Midland, Texas

Provider Information

NPI Number: 1265036917
Entity Type: Organization
Organization Name: John K. Drisdale Iii, Dmd, Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 24, 2020
Last Updated: Apr 1, 2021

Practice Location

Address: 2303 W LOUISIANA AVE
City: Midland
State: Texas
ZIP Code: 79701-5800
Phone: (512) 468-5071

Authorized Official

Name: DR. JOHN K DRISDALE III, DMD
Title: OWNER
Phone: (512) 468-5071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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